Deep Vein Thrombosis after Femoral Arterial Access: Pathophysiologic and Therapeutic Challenges

Deep vein thrombosis (DVT) after femoral arterial access is a rare complication of left heart catheterization (LHC). The reasons for paradoxical venous clot formation after arterial access are identifiable in some cases but less clear in others. Here, we present one case of provoked DVT after femora...

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Main Authors: Evan Harmon, Yoo Jin Lee, Sula Mazimba, Kanwar Singh, Aditya Sharma, Younghoon Kwon
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2019/1849256
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author Evan Harmon
Yoo Jin Lee
Sula Mazimba
Kanwar Singh
Aditya Sharma
Younghoon Kwon
author_facet Evan Harmon
Yoo Jin Lee
Sula Mazimba
Kanwar Singh
Aditya Sharma
Younghoon Kwon
author_sort Evan Harmon
collection DOAJ
description Deep vein thrombosis (DVT) after femoral arterial access is a rare complication of left heart catheterization (LHC). The reasons for paradoxical venous clot formation after arterial access are identifiable in some cases but less clear in others. Here, we present one case of provoked DVT after femoral access followed by a second case in which clot formation appears to be spontaneous. Additionally, though each of the patients presented here demonstrated thrombus resolution, only one received anticoagulation. These cases highlight the complex pathophysiology of DVT following femoral arterial access and the challenges of management strategy selection.
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id doaj-art-c0c77d1730ab4d70b79e83f41575e1d1
institution DOAJ
issn 2090-6404
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language English
publishDate 2019-01-01
publisher Wiley
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series Case Reports in Cardiology
spelling doaj-art-c0c77d1730ab4d70b79e83f41575e1d12025-08-20T03:23:26ZengWileyCase Reports in Cardiology2090-64042090-64122019-01-01201910.1155/2019/18492561849256Deep Vein Thrombosis after Femoral Arterial Access: Pathophysiologic and Therapeutic ChallengesEvan Harmon0Yoo Jin Lee1Sula Mazimba2Kanwar Singh3Aditya Sharma4Younghoon Kwon5University of Virginia Health System, Charlottesville, VA, USAUniversity of Virginia Health System, Charlottesville, VA, USAUniversity of Virginia Health System, Charlottesville, VA, USAUniversity of Virginia Health System, Charlottesville, VA, USAUniversity of Virginia Health System, Charlottesville, VA, USAUniversity of Virginia Health System, Charlottesville, VA, USADeep vein thrombosis (DVT) after femoral arterial access is a rare complication of left heart catheterization (LHC). The reasons for paradoxical venous clot formation after arterial access are identifiable in some cases but less clear in others. Here, we present one case of provoked DVT after femoral access followed by a second case in which clot formation appears to be spontaneous. Additionally, though each of the patients presented here demonstrated thrombus resolution, only one received anticoagulation. These cases highlight the complex pathophysiology of DVT following femoral arterial access and the challenges of management strategy selection.http://dx.doi.org/10.1155/2019/1849256
spellingShingle Evan Harmon
Yoo Jin Lee
Sula Mazimba
Kanwar Singh
Aditya Sharma
Younghoon Kwon
Deep Vein Thrombosis after Femoral Arterial Access: Pathophysiologic and Therapeutic Challenges
Case Reports in Cardiology
title Deep Vein Thrombosis after Femoral Arterial Access: Pathophysiologic and Therapeutic Challenges
title_full Deep Vein Thrombosis after Femoral Arterial Access: Pathophysiologic and Therapeutic Challenges
title_fullStr Deep Vein Thrombosis after Femoral Arterial Access: Pathophysiologic and Therapeutic Challenges
title_full_unstemmed Deep Vein Thrombosis after Femoral Arterial Access: Pathophysiologic and Therapeutic Challenges
title_short Deep Vein Thrombosis after Femoral Arterial Access: Pathophysiologic and Therapeutic Challenges
title_sort deep vein thrombosis after femoral arterial access pathophysiologic and therapeutic challenges
url http://dx.doi.org/10.1155/2019/1849256
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