Case Series
 
Aberrant venous anatomy and catheter directed thrombolysis: A case series
Nihal Abosaif1, Simon Hobbs2, Jules Dyer3, Michael Collins3
1Acute Medicine Department, University hospital Coventry and Warwickshire, Coventry, West Midlands, UK.
2Vascular Surgery Department, The Royal Wolverhampton Hospital, NHS trust, Wolverhampton, West Midlands, UK.
3Interventional Radiology Department, The Royal Wolverhampton Hospital, NHS trust, Wolverhampton, West Midlands, UK.

Article ID: Z01201611CS10077NA
doi:10.5348/ijcri-201616-CS-10077

Address correspondence to:
Nihal Younis Abosaif
Acute Medicine Department, University hospital Coventry and Warwickshire
Coventry, West Midlands
UK

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How to cite this article
Abosaif N, Hobbs S, Dyer J, Collins M. Aberrant venous anatomy and catheter directed thrombolysis: A case series. Int J Case Rep Images 2016;7(11):687–691.


Abstract
Catheter directed thrombolysis (CDT) has been approved by National Institute of Clinical Excellence (NICE) in June, 2012 according to certain criteria for proximal and extensive deep venous thrombosis (DVT). This procedure entitles medical thrombolysis in addition to endovascular thrombectomy which would help in prevention of long-term consequences of post thrombotic syndrome. The introduction of this procedure must be preceded by CT angiogram to rule out intra-abdominal pathology or aberrant anatomical disorders. We are here presenting two potential cases whom we attempted CDT but were found to have rare anatomical variants of their venous system.

Keywords: Aberrant venous anatomy, Catheter directed thrombolysis, Deep venous thrombosis (DVT), Iliofemoral deep venous thrombosis, Post thrombotic syndrome, Proximal DVT


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Author Contributions:
Nihal Abosaif – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Simon Hobbs – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Jules Dyer – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Michael Collins – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Nihal Abosaif et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.