Case of the Week - Week Six

VALLEY RADIOLOGY Interventional Radiology Case of the Week:

Case of the week: A 60 year old gentleman with extensive blood clots throughout both legs, pelvis and abdomen. Patient has an IVC filter with clot extending about the filter and acute clots into the lungs.

Day 1 venogram pictures shows occlusive deep vein thrombosis without any venous flow through the legs, pelvis or abdomen. Catheters were placed to drip clot busting drugs directly into the clot for 24 hours.

Day 2 venogram shows improved flow through the veins. Residual clot was then removed with special suction catheter (thrombectomy).