Yeungnam Univ J Med.  2013 Jun;30(1):31-35.

Deep Vein Thrombosis Due to Hematoma as a Rare Complication after Femoral Arterial Catheterization

• Kim M
• Lee JY
• Lee CW
• Lee SW
• Kang SJ
• Yoon YH
• Om SY
• Kim YH

Abstract

Hematoma is quite a common complication of femoral arterial catheterization. However, to the best of our knowledge, there have been no previous studies regarding deep vein thrombosis (DVT) caused by compression of a vein due to a hematoma. We report a case of a hematoma developing after femoral arterial catheterization and causing extensive symptomatic DVT. A 59-year-old male was seen in our Emergency Department with right lower leg swelling 15 days after coronary stent implantation performed using right femoral artery access. Computed tomographic (CT) scanning revealed a large hematoma (45 mm in its longest diameter) compressing the common femoral vein and with DVT from the right external iliac vein to the popliteal vein. Due to the extensive DVT involvement, we decided to release the compressed common femoral vein by surgical evacuation of the large hematoma. However, even following evacuation of the hematoma, as the DVT did not resolve soon, further mechanical thrombectomy and catheter-directed thrombolysis were performed. Angiography then showed nearly resolved DVT, and the leg swelling was improved. The patient was discharged with the anticoagulation medication, warfarin.

Keyword

Angioplasty; Catheterization; Hematoma; Venous thrombosis; Thrombolytic therapy

MeSH Terms

Angiography
Angioplasty
Catheterization
Catheters
Emergencies
Femoral Artery
Femoral Vein
Hematoma
Humans
Iliac Vein
Leg
Male
Popliteal Vein
Stents
Thrombectomy
Thrombolytic Therapy
Veins
Venous Thrombosis
Warfarin
Warfarin