Aaron W. Lyon
2nd Year medical student
University of Washington
Disclosure(s): No financial relationships to disclose
Anna Hu, BS (she/her/hers)
George Washington University School of Medicine and Health Sciences
Case 1&2: 47 year-old males with inferior vena caval filters (IVCF) associated bilateral iliofemoral DVT were treated with bilateral MT followed by double-barrel venous stents.
Case 3: 27 year old male with unprovoked DVT status post lysis and persistent narrowing at OSH was treated with serial venoplasty, MT from superior vena cava (SVC) to popliteal access, and double-barrel stent deployment.
Case 4: 73-year-old male with a history of prostate cancer was found to have an incidental DVT on surveillance magnetic resonance imaging (MRI). Pre-Opertative computed tomography (CT) showed a clot extending from the left iliac vein into the IVC. MT was performed from the infrarenal IVC to the left iliac vein. Repeat venogram demonstrated near complete thrombectomy.
Case 5: 22-year-old male with metastatic testicular seminoma presented with totally occluding DVT of the mid to distal inferior vena cava, right common iliac, and external iliac veins, and partial occlusive DVT of the right common femoral vein. MT was performed followed by venoplasty and double-barrel stent deployment.
Conclusion: Iliofemoral DVTs can be resolved using MT alone on an outpatient basis safely and effectively in carefully selected patients