Deep venous thromboembolism and pulmonary embolization as a rare complication of diagnostic femoral catheterization and prevention of recurrence with inferior vena cava filter prior to cardiac surgery

Ardal, Hasan; Yılmaz, Ömer; Arbatlı, Harun; Kuzucu, K; Sönmez, Bingür

doi:10.1258/phleb.2009.009037

Cited by 4 publications

(5 citation statements)

References 3 publications

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“…6) In addition, greater sheath diameter used for venous catheterization, which is reported an independent predictor of thrombus occurrence with odds ratio of 1.41 per 1-French, might play an important role in catheter-related DVT. 2,7) Venous sheath placement itself might promote thrombogenesis by injuring the vessel wall, reducing the lumen and activating the coagulation cascade, 8) which of action is the increase of shear stress in microcirculation of the vein wall releasing anti-inflammatory and anti-coagulatory mediators.…”

Section: Discussionmentioning

confidence: 97%

Pulmonary Thromboembolism Caused by Prolonged Compression at the Femoral Access Site and a Venous Aneurysm of the Ipsilateral Popliteal Vein

Arakawa

Himeno

Kirigaya

et al. 2016

Annals of Vascular Diseases

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A 51-year-old female with dilated cardiomyopathy underwent a cardiac catheterization via right common femoral vein and artery. Prolonged compression with a bandage and extension of supine bed rest were needed. Immediately after standing up, she lost consciousness and developed electromechanical dissociation. The echocardiogram revealed a huge thrombus filling the main pulmonary trunk and massive enlargement of right ventricle, which suggested acute pulmonary thromboembolism (PTE). Images of computed tomography taken 2 months later detected a huge venous aneurysm of the right popliteal vein. Prolonged compression at the groin area might enhance blood stasis of the ipsilateral popliteal venous aneurysm, followed by life-threatening PTE.

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Section: Discussionmentioning

confidence: 97%

Pulmonary Thromboembolism Caused by Prolonged Compression at the Femoral Access Site and a Venous Aneurysm of the Ipsilateral Popliteal Vein

Arakawa

Himeno

Kirigaya

et al. 2016

Annals of Vascular Diseases

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“…There are also some case reports regarding DVT caused by manual compression following femoral arterial catheterization. 16,17 Concurrent pulmonary embolism and stroke via the foramen ovale have even been reported, 18 and there are only two reported cases of DVT associated with extravenous compression following cardiac catheterization. 19,20 Because both of these cases resulted from pseudoaneurysm, ours is the first case report of DVT associated with extravenous compression from hematoma following femoral arterial catheterization.…”

Section: Discussionmentioning

confidence: 99%

Deep Vein Thrombosis Due to Hematoma as a Rare Complication after Femoral Arterial Catheterization

Kim

Lee

et al. 2013

Yeungnam Univ J Med

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Hematoma is quite a common complication of femoral arterial catheterization. However, to the best of our knowledge, there have been no previous studies regarding deep vein thrombosis (DVT) caused by compression of a vein due to a hematoma. We report a case of a hematoma developing after femoral arterial catheterization and causing extensive symptomatic DVT. A 59-year-old male was seen in our Emergency Department with right lower leg swelling 15 days after coronary stent implantation performed using right femoral artery access. Computed tomographic (CT) scanning revealed a large hematoma (45 mm in its longest diameter) compressing the common femoral vein and with DVT from the right external iliac vein to the popliteal vein. Due to the extensive DVT involvement, we decided to release the compressed common femoral vein by surgical evacuation of the large hematoma. However, even following evacuation of the hematoma, as the DVT did not resolve soon, further mechanical thrombectomy and catheter-directed thrombolysis were performed. Angiography then showed nearly resolved DVT, and the leg swelling was improved. The patient was discharged with the anticoagulation medication, warfarin.

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“…A few cases have been reported especially in the setting of venous compression with an enlarging hematoma and prolonged procedures of the coronary interventions. 1 The most important theory explaining the pathogenesis of venous thromboembolism was described by Virchow. 2 This situation is explained by three factors: stasis, vascular endothelial damage, and hypercoagulability.…”

Section: Discussionmentioning

confidence: 99%

A Rare Case of Acute Pulmonary Embolism after Coronary Angiography due to Sand Bag Compression

et al. 2013

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Pulmonary embolism (PE) is very rare after coronary angiography. We present here a case of acute PE after coronary angiography due to sand bag compression which has not been reported previously. After the femoral sheath removal, patient was immobilized for 6 hours with a sand bag on his right femoral artery area. After the removal of sand bag, patient stood up with the help of a nurse. Immediately after standing up, patient complained sudden onset of dyspnea, lost his consciousness, and suddenly fell on the ground while hitting left occipital region of his head. Clinical, echocardiographic, laboratory, and tomographic findings were compatible with massive PE and we decided to give thrombolytic agent. On the contrary, because he had cranial trauma during syncope and oozing type hemorrhage in his right inguinal region, we administered a total dose of 50 mg alteplase (tissue plasminogen activator) within 2 hours (normal recommended dose is 100 mg). Just after finishing alteplase, clinical, laboratory, and echocardiographic parameters of the patient returned to normal without any complication. Patient was discharged with warfarin treatment 5 days after the event.

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Deep venous thromboembolism and pulmonary embolization as a rare complication of diagnostic femoral catheterization and prevention of recurrence with inferior vena cava filter prior to cardiac surgery

Cited by 4 publications

References 3 publications

Pulmonary Thromboembolism Caused by Prolonged Compression at the Femoral Access Site and a Venous Aneurysm of the Ipsilateral Popliteal Vein

Pulmonary Thromboembolism Caused by Prolonged Compression at the Femoral Access Site and a Venous Aneurysm of the Ipsilateral Popliteal Vein

Deep Vein Thrombosis Due to Hematoma as a Rare Complication after Femoral Arterial Catheterization

A Rare Case of Acute Pulmonary Embolism after Coronary Angiography due to Sand Bag Compression

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