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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;  https://doi.org/10.15656/kjcg.2018.19.2.105
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 (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
 Abstract
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
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December 2018, 19 (2)