Endovascular mechanical thrombectomy and stenting in a case of central vein thrombosis. Issue 2 (18th February 2021)

• Record Type: Journal Article
• Authors: Vijayvergiya, Rajesh; Kaur, Navjyot; Sahoo, Saroj K; Sharma, Ashish
• Is Part Of: BMJ case reports. Volume 14:Issue 2(2021)
• Publication Date: 2021-02-18
• Subjects: venous thromboembolism -- renal system -- chronic renal failure -- dialysis; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2020-236508
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : Central vein stenosis and thrombosis are frequent in patients on haemodialysis for end-stage renal disease. Its management includes anticoagulation, systemic or catheter-directed thrombolysis, mechanical thrombectomy and percutaneous transluminal angioplasty (PTA). Use of mechanical thrombectomy in central vein thrombosis has been scarcely reported. We hereby report a case of right brachiocephalic vein thrombosis with underlying stenosis, which was successfully treated by mechanical thrombectomy followed by PTA and stenting. The patient had a favourable 10 months of follow-up.