Catheter-directed Thrombolysis for Neonatal IVC and Bilateral Renal Vein Thrombosis: A Case Report. Issue 4 (May 2021)

• Record Type: Journal Article
• Authors: Guichet, Phillip L.; Jasinski, Sylwia; Malaga-Dieguez, Laura; De Los Reyes, Francis A.; Ahuja, Tania; Bride, Karen L.; Patel, Amish
• Is Part Of: Journal of pediatric hematology/oncology. Volume 43:Issue 4(2021)
• Publication Date: 2021-05
• Subjects: catheter-directed thrombolysis -- interventional radiology -- inferior vena cava thrombosis -- renal vein thrombosis -- thrombosis -- anticoagulation -- tissue plasminogen activator -- tPA; Pediatric hematology -- Periodicals; Tumors in children -- Periodicals; 618.9215
• DOI: 10.1097/MPH.0000000000001867
• Languages: English
• ISSNs: 1077-4114

Abstract

Abstract : Renal vein thrombosis is the most common non–catheter-associated venous thromboembolism event in neonates, accounting for up to 20% of cases. Although mortality rates are lower than a variety of other forms of pediatric thrombosis, renal vein thrombi are associated with significant short-term and long-term sequelae. This report presents the case of a full-term neonate presenting with bilateral renal vein thrombosis with inferior vena cava involvement treated with catheter-directed thrombolysis. This case report intends to highlight the value of a multidisciplinary approach to pediatric venous thromboembolism and to outline relevant procedural details and current laboratory and imaging monitoring of catheter-directed thrombolysis.