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Yeungnam Univ J Med > Volume 30(1); 2013 > Article
Yeungnam University Journal of Medicine 2013;30(1):31-35.
DOI: https://doi.org/10.12701/yujm.2013.30.1.31    Published online June 30, 2013.
Deep Vein Thrombosis Due to Hematoma as a Rare Complication after Femoral Arterial Catheterization.
Minsoo Kim, Jong Young Lee, Cheol Whan Lee, Seung Whan Lee, Soo Jin Kang, Yong Hoon Yoon, Sang Yong Om, Young Hak Kim
1Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
2Department of Cardiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. mdyhkim@amc.seoul.kr
Abstract
Hematoma is quite a common complication of femoral arterial catheterization. However, to the best of our knowledge, there have been no previous studies regarding deep vein thrombosis (DVT) caused by compression of a vein due to a hematoma. We report a case of a hematoma developing after femoral arterial catheterization and causing extensive symptomatic DVT. A 59-year-old male was seen in our Emergency Department with right lower leg swelling 15 days after coronary stent implantation performed using right femoral artery access. Computed tomographic (CT) scanning revealed a large hematoma (45 mm in its longest diameter) compressing the common femoral vein and with DVT from the right external iliac vein to the popliteal vein. Due to the extensive DVT involvement, we decided to release the compressed common femoral vein by surgical evacuation of the large hematoma. However, even following evacuation of the hematoma, as the DVT did not resolve soon, further mechanical thrombectomy and catheter-directed thrombolysis were performed. Angiography then showed nearly resolved DVT, and the leg swelling was improved. The patient was discharged with the anticoagulation medication, warfarin.
Key Words: Angioplasty, Catheterization, Hematoma, Venous thrombosis, Thrombolytic therapy


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