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Popliteal Pseudoaneurysm Complicated by Massive Hematoma following Catheter-Directed Thrombolysis for a May-Thurner Syndrome Patient with Deep Vein Thrombosis
Korean J Clin Geri 2018 Dec;19(2):105-109
Published online December 30, 2018;
Copyright © 2018 The Korean Academy of Clinical Geriatrics.

Eun-Jin Park, Seung-Woon Rha

Cardiovascular Center, Korea University Guro Hospital, Seoul, Korea
Received August 20, 2018; Revised October 12, 2018; Accepted October 23, 2018.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
We present a patient with massive deep vein thrombosis (DVT) resulting from May-Thurner syndrome as known as the iliac vein compression syndrome. He underwent an angioplasty procedure in which stents were placed at ileofemoral vein and catheter-directed thrombolysis was performed. This angioplasty procedure was complicated by blood vessel wall injuries such as pseudoaneurysm at his right popliteal blood vessel. Manual compression, thrombin injection to pseudoaneurysm and hematoma aspiration could not resolve the complications. Finally, surgical drainage could completely resolve the hemorrhagic complications. Therefore, catheter-directed thrombolysis requires particular attention to post-procedure close observation, especially, within one week of onset of DVT as well as within 48 hours of procedure.
Keywords : Fibrinolytic agent, May-thuner syndrome, Peripheral Catheterization, Venous thrombosis
  1. Shuman LS. Catheter-directed thrombolysis of extensive deep venus thrombosis. J Lanc Gen Hosp 2008;3:61.
  2. Kahn SR. The post‐thrombotic syndrome: progress and pitfalls. Br J Haematol 2006;134:357-65.
    Pubmed CrossRef
  3. Enden T, Haig Y, Klow NE, Slagsvold CE, Sandvik L, Ghanima W, et al. Long-term outcome after additional catheterdirected thrombolysis versus standard treatment for acute iliofemoral deep vein thrombosis (the CaVenT study): a randomised controlled trial. Lancet 2012;379:31-8.
  4. Bashir R, Zack CJ, Zhao H, Comerota AJ, Bove AA. Comparative outcomes of catheter-directed thrombolysis plus anticoagulation vs anticoagulation alone to treat lowerextremity proximal deep vein thrombosis. JAMA Intern Med 2014;174:1494-501.
    Pubmed CrossRef
  5. Mousa AY, AbuRahma AF. May-Thurner syndrome: update and review. Ann Vasc Surg 2013;27:984-95.
    Pubmed CrossRef
  6. Liew A, Douketis J. Catheter-directed thrombolysis for extensive iliofemoral deep vein thrombosis: review of literature and ongoing trials. Expert Rev Cardiovasc Ther 2016;14:189-200.
    Pubmed CrossRef
  7. Hofmann LV, Kuo WT. Catheter-directed thrombolysis for acute DVT. Lancet 2012;379:3-4.


December 2018, 19 (2)