We report a combined percutaneous endovascular approach, including thrombus aspiration and catheter directed local thrombolysis, followed by systemic thrombolytic therapy to treat severe superior vena cava syndrome in a 2½12 week old infant. This procedure was performed on the fifth postoperative day after major surgery. No treatment complications were observed. The only predisposing condition for thrombosis was a central venous line. No other acquired or genetic risk factors for thrombosis could be found.
- percutaneous endovascular catheter aspiration thrombectomy
- superior vena cava syndrome
- thrombolytic therapy
- CVL, central venous line
- LMWH, low molecular weight heparin
- rt-PA, recombinant tissue type plasminogen activator
- UFH, unfractionated heparin
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