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      Single-Session Treatment of Upper Extremity Deep Venous Thrombosis and Central Venous Catheter Malfunction Using the ClotTriever System

      case-report
      1 , 2 , 3 , 4 , 3 ,
      ,
      Cureus
      Cureus
      percutaneous mechanical thrombectomy, breast cancer, catheter directed thrombolysis, anti-coagulation

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          Abstract

          Intravenous catheters account for the majority of cases of upper extremity deep vein thrombosis (UEDVT), with a higher incidence in patients suffering from malignancy. Sequelae of UEDVT are similar to that of lower extremity DVT, comprising post-thrombotic syndrome and pulmonary embolism. While there are several treatment options for UEDVT including systemic anticoagulation, catheter-directed thrombolysis, and percutaneous mechanical thrombectomy, due to the absence of consistent guidelines regarding its management, treatment is often individualized based on patient characteristics, clinical factors, and technical considerations. We present a case of a 49-year-old female suffering from breast cancer with a central venous catheter (CVC) who came to the clinic with UEDVT and CVC malfunction and was successfully treated with mechanical thrombectomy using the ClotTriever System (Inari Medical, Irvine, CA). To our knowledge, this is the first report of the ClotTriever System being used to treat UEDVT and simultaneously salvage the CVC in a single session.

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          Most cited references7

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          Antithrombotic Therapy for VTE Disease: CHEST Guideline and Expert Panel Report.

          We update recommendations on 12 topics that were in the 9th edition of these guidelines, and address 3 new topics.
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            Post-thrombotic syndrome after catheter-directed thrombolysis for deep vein thrombosis (CaVenT): 5-year follow-up results of an open-label, randomised controlled trial.

            Post-thrombotic syndrome is a common complication after acute proximal deep vein thrombosis (DVT) and is associated with reduced quality of life and a substantial cost burden. In the 2-year results of the CaVenT study, additional catheter-directed thrombolysis reduced the risk of post-thrombotic syndrome by 14% compared with conventional therapy, but did not affect quality of life. In this study we report results at the 5-year follow-up, aiming to assess whether findings for post-thrombotic syndrome and quality of life have persisted.
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              Clinical practice. Deep-vein thrombosis of the upper extremities.

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                Author and article information

                Journal
                Cureus
                Cureus
                2168-8184
                Cureus
                Cureus (Palo Alto (CA) )
                2168-8184
                14 December 2020
                December 2020
                : 12
                : 12
                : e12071
                Affiliations
                [1 ] Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, IND
                [2 ] Cardiology, Heritage College of Osteopathic Medicine, Athens, USA
                [3 ] Interventional Cardiology, Mercy Health St. Rita's Medical Center, Lima, USA
                [4 ] Interventional Cardiology, Vein Care Center, Lima, USA
                Author notes
                Article
                10.7759/cureus.12071
                7805419
                33489489
                0e82a4d7-fab8-43cf-9b6e-51934f3db9c8
                Copyright © 2020, Agarwal et al.

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 14 December 2020
                Categories
                Cardiology

                percutaneous mechanical thrombectomy,breast cancer,catheter directed thrombolysis,anti-coagulation

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