Successful endovascular thrombectomy with the ClotTriever System for acute subclavian vein thrombosis in venous thoracic outlet syndrome

CVIR Endovascular

Case Report

Andrea Discalzi¹  Valentina Cignini¹  Denis Rossato¹  Marco Calandri¹  Fernanda Ciferri¹  Paolo Fonio¹  Floriana Nardelli¹ 

[1] Department of Surgical Sciences, Radiology Unit, University of Turin, Molinette Hospital, Via Genova 3, 10126, Turin, Italy;

关键词: Thoracic outlet syndrome;    Upper extremity;    Deep vein thrombosis;    Mechanical thrombectomy;    ClotTriever;   

DOI  :  10.1186/s42155-023-00378-7

 received in 2023-02-22, accepted in 2023-05-11,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundThe case describes a successful endovascular thrombectomy using the ClotTriever System for an acute subclavian thrombosis in venous thoracic outlet syndrome. To the best of our knowledge, this is the first case report on use of Inari ClotTriever for acute upper extremity deep venous thrombosis due to venous thoracic outlet syndrome. The rapid technical and clinical success of our intervention may be an interesting cue for interventional radiologist colleagues.Case presentationUpper extremity deep vein thrombosis in the setting of venous thoracic outlet syndrome generally occurs in young adults after excessive arm activity and can sometimes be managed with anticoagulation. In this case, a 29-year-old male diagnosed with acute effort-induced thrombosis of the left subclavian vein and persistent symptoms following low-molecular-weight heparin therapy underwent mechanical thrombectomy. Successful thrombectomy was completed with > 90% thrombus burden reduction and no complication. The patient experienced immediate symptom relief and vein patency was confirmed via imaging 3 months post procedure.ConclusionsMechanical thrombectomy is a promising treatment technique for thrombosis associated with venous thoracic outlet syndrome.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

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