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British Journal of Radiology (2003) 76, 380-384
© 2003 British Institute of Radiology
doi: 10.1259/bjr/47736122

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Deep venous thrombosis associated with protein C and/or S deficiency: management with catheter-directed thrombolysis

Y P Cho, MD 1 H J Jang, MD 1 D H Lee, MD 2 J Ahn, MD 2 M S Han, MD 1 J S Kim, MD 1 Y H Kim, MD 1 and S G Lee, MD 3

Department of 1 Surgery and 2 Diagnostic Radiology, Gangneung Asan Hospital, 415 Bangdong-ri, Sacheon-myeon, Gangneung and 3 Department of Surgery, Seoul Asan Hospital, 388-1 Poongnap-dong, Songpa-Gu, Seoul, Republic of Korea



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Figure 1. Venograms of complete thrombolysis with underlying focal stenosis treated with an endoluminal stent in case 2 with acute left leg swelling and pain for 5 days. Doppler ultrasound revealed acute DVT extending from the calf vein into the common iliac vein. (a) In the prone position, ascending venogram demonstrated an acute thrombus extending into the common iliac vein. (b) After 25 h of thrombolytic therapy, flow was restored within the common iliac vein; however, there was a focal stenosis in the common iliac vein (arrow). (c) The common iliac vein was treated with angioplasty and stent placement. (d) Final subtraction venogram showed complete resolution of iliac vein flow and no residual filling defect.

 





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