Treatment of acute inferior vena cava and iliac vein thrombosis with pharmacomechanical thrombectomy using simultaneously operating "kissing" trellis-8 thrombolysis catheters

Academic Article


  • Purpose: To present a new endovascular technique for treating acute large thrombus burden in the iliocaval venous system. Technique: This method is demonstrated in a 62-year-old man with end-stage renal disease on hemodialysis who had a nonfunctioning right femoral dialysis catheter that was placed 3 month earlier. After catheter removal, venography demonstrated significant thrombus in the inferior vena cava (IVC) and both iliac veins. The patient was treated successfully using two simultaneously operating Trellis-8 thrombolysis catheters placed side-by-side in the IVC and both iliac veins in a "kissing" configuration. Conclusion: This technique was able to effectively debulk acute large thrombus burden in the iliocaval system in a single session and preserve the patient's available hemodialysis access. The technique has the potential to minimize morbidity, duration of hospital stay, and overall cost of treatment. © 2011 by the International Society of Endovascular Specialists.
  • Published In

    Digital Object Identifier (doi)

    Pubmed Id

  • 22190453
  • Author List

  • Abdel Aal AMK; Hamed MF; Saddekni S; Osman S; Zarzour J
  • Start Page

  • 739
  • End Page

  • 743
  • Volume

  • 18
  • Issue

  • 5