An extensive suprarenal inferior vena cava thrombosis successfully treated with catheter-directed thrombolysis in a postpartum 14-year-old girl

Vasa. 2017 May;46(3):227-230. doi: 10.1024/0301-1526/a000605. Epub 2017 Jan 19.

Abstract

We report a case of extensive early postpartum acute suprarenal inferior vena cava thrombosis in a 14-year-old girl. Management included catheter-directed-thrombolysis, aiming to save renal function and prevent fatal pulmonary embolism. Treatment decisions were mostly based on adult guidelines, as guidelines for the paediatric population are not yet available.

Keywords: Children; catheter- directed thrombolysis; deep venous thrombosis; pregnancy.

Publication types

  • Case Reports

MeSH terms

  • Activated Protein C Resistance / complications
  • Activated Protein C Resistance / genetics
  • Acute Disease
  • Adolescent
  • Anticoagulants / administration & dosage
  • Catheterization, Central Venous*
  • Computed Tomography Angiography
  • Factor V / genetics
  • Female
  • Fibrinolytic Agents / administration & dosage*
  • Humans
  • Infusions, Intravenous
  • Mutation
  • Phlebography / methods
  • Postpartum Period
  • Pregnancy
  • Pregnancy Complications, Cardiovascular / diagnostic imaging
  • Pregnancy Complications, Cardiovascular / drug therapy*
  • Pregnancy Complications, Cardiovascular / genetics
  • Protein S Deficiency / complications
  • Protein S Deficiency / genetics
  • Risk Factors
  • Thrombolytic Therapy*
  • Tissue Plasminogen Activator / administration & dosage*
  • Treatment Outcome
  • Vena Cava, Inferior / diagnostic imaging
  • Vena Cava, Inferior / drug effects*
  • Venous Thrombosis / diagnostic imaging
  • Venous Thrombosis / drug therapy*
  • Venous Thrombosis / genetics

Substances

  • Anticoagulants
  • Fibrinolytic Agents
  • factor V Leiden
  • Factor V
  • Tissue Plasminogen Activator