MedElevator
Войти в исследования JACC. Case reports · 2026
Multimodal Endovascular Salvage of Catastrophic Extensive Iliofemoral Venous Thrombosis.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Pawar Mohit, Choudhary Anil Kumar, Kumar Devesh, Nagarwal Amitesh, Kumar Vinod, Charan Sheshkaran, Gaurab Vishal, Mittal Naman, J Abhinandan, Somendra Somyata
Аннотация
BACKGROUND: Burns when extensive are notorious for producing a profound inflammatory stage that often leads to a procoagulable milieu predisposing to deep venous thrombosis (DVT).
CASE SUMMARY: A middle-aged man with extensive second-degree burns (30%-40% of total body surface area) after a boiler explosion developed fulminant iliocaval DVT complicated by venous gangrene. A meticulously structured multimodal endovascular approach was employed, integrating thrombolytic therapy (catheter-directed alteplase infusion) with nonthrombolytic modalities (inferior vena cava filter placement, aspiration thrombectomy, and iliac vein stenting). The combined approach facilitated rapid thrombus debulking and restoration of venous patency, resulting in complete limb salvage.
DISCUSSION: This case underscores the grave yet infrequent complication of extensive DVT after extensive burns, culminating in impending venous gangrene, a condition precipitated by the triad of endothelial injury, venous stasis, and hypercoagulability that is inherent to severe burn pathology.
TAKE-HOME MESSAGE: This case highlights the synergistic interaction between pharmacologic thrombolysis and mechanical interventions, demonstrating their complementary efficacy in optimizing outcomes in extensive, limb-threatening DVT.
CASE SUMMARY: A middle-aged man with extensive second-degree burns (30%-40% of total body surface area) after a boiler explosion developed fulminant iliocaval DVT complicated by venous gangrene. A meticulously structured multimodal endovascular approach was employed, integrating thrombolytic therapy (catheter-directed alteplase infusion) with nonthrombolytic modalities (inferior vena cava filter placement, aspiration thrombectomy, and iliac vein stenting). The combined approach facilitated rapid thrombus debulking and restoration of venous patency, resulting in complete limb salvage.
DISCUSSION: This case underscores the grave yet infrequent complication of extensive DVT after extensive burns, culminating in impending venous gangrene, a condition precipitated by the triad of endothelial injury, venous stasis, and hypercoagulability that is inherent to severe burn pathology.
TAKE-HOME MESSAGE: This case highlights the synergistic interaction between pharmacologic thrombolysis and mechanical interventions, demonstrating their complementary efficacy in optimizing outcomes in extensive, limb-threatening DVT.