Document Detail

Case of the disappearing heat-induced thrombus causing pulmonary embolism during ultrasound evaluation.
MedLine Citation:
PMID:  21958568     Owner:  NLM     Status:  MEDLINE    
We report a case of a 58-year-old male patient who underwent successful endovenous radiofrequency ablation of the left great saphenous vein for CEAP class 4a venous disease. On the third postoperative day, he had a duplex ultrasound scan for evaluation which showed successful occlusion of the great saphenous vein (GSV) with class 2 endovenous heat-induced thrombus (EHIT) that disappeared during the evaluation and caused a pulmonary embolism. To our knowledge, no case of pulmonary embolism has been reported to occur during postoperative follow-up duplex scanning. Relevant literature is reviewed and a possible mechanism for thrombus dislodgement is entertained.
Shekeeb Sufian; Alejandro Arnez; Sanjiv Lakhanpal
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Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2011-09-29
Journal Detail:
Title:  Journal of vascular surgery     Volume:  55     ISSN:  1097-6809     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-01-23     Completed Date:  2012-03-12     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  529-31     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved.
Center for Vein Restoration, Glenn Dale, MD 20769, USA.
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MeSH Terms
Administration, Oral
Anticoagulants / administration & dosage
Catheter Ablation / adverse effects*
Hot Temperature / adverse effects*
Middle Aged
Predictive Value of Tests
Pulmonary Embolism / etiology*,  prevention & control,  radiography
Saphenous Vein / surgery*,  ultrasonography*
Time Factors
Tomography, X-Ray Computed
Treatment Outcome
Ultrasonography, Doppler, Duplex / adverse effects*
Venous Thrombosis / drug therapy,  etiology*,  ultrasonography*
Reg. No./Substance:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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