A Unique 8 Fr Angled Sheath Thrombectomy System for Treating Proximal Inferior Vena Cava Thrombosis

Yusaku Shibata, Nobuaki Kobayashi, Masato Matsushita, Hirotake Okazaki, Akihiro Shirakabe, Masamichi Takano, Yasushi Miyauchi, Noritake Hata and Wataru Shimizu

Department of Intensive Care Unit, Nippon Medical School Chiba Hokusoh Hospital, Chiba, Japan
Department of Cardiovascular Medicine, Nippon Medical School Chiba Hokusoh Hospital, Chiba, Japan
Department of Cardiovascular Medicine, Nippon Medical School, Tokyo, Japan

^*Correspondance to: Nobuaki Kobayashi 

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Abstract:

We report the case of a woman with nephrotic syndrome suffering from large thrombi at the proximal Inferior Vena Cava (IVC). A percutaneous thrombectomy on the worsening IVC thrombi following optimal anticoagulant therapy was performed. Temporary IVC filter placement and subsequent direct thrombectomy via an 8 Fr angled sheath (inner lumen area = 6.51 mm2) within a 10 Fr sheath were useful, although an 8 Fr guiding catheter (inner lumen area = 4.19 mm2) was ineffective. To aspirate the large thrombus burden, a catheter with a large lumen size, such as an 8 Fr sheath, was necessary.

Keywords:

Thrombectomy; Inferior vena cava; 8 Fr angled sheath

Cite the Article:

Shibata Y, Kobayashi N, Matsushita M, Okazaki H, Shirakabe A, Takano M, et al. A Unique 8 Fr Angled Sheath Thrombectomy System for Treating Proximal Inferior Vena Cava Thrombosis. Ann Clin Case Rep. 2017; 2: 1318.