|
|
| |
Sunday, 14 January
2018 | ArabMedicare.com | Staff Reporter
|
|
|
| |
|
Dr.
Amritendu Mukherjee, Specialist
Interventional Radiology &
Neuroradiology at
Zulekha Hospital, Dubai.
|
| |
Zulekha Hospital Dubai
treats rare Deep Vein
Thrombosis condition after
patient gives birth
(Dubai) -
A patient
at Zulekha Hospital Dubai
who recently gave birth by
lower segment caesarean
section (LSCS) was diagnosed
with May-Thurner syndrome
just a few weeks after. The
Indian expat aged 32,
initially developed pain and
swelling in the left leg
three weeks after delivery.
She was at risk of
developing chronic venous
insufficiency of the left
leg, which, if not treated
may lead to prolonged pain,
swelling and even the
development of venous ulcer.
There was also a remote risk
of pulmonary embolism.
The disease is a rare
condition of deep vein
thrombosis which occurs in
the left leg and is due to a
rather common anatomic
variant – seen in 20% of
patients– where the right
iliac artery compressed left
iliac vein.
After the May-Thurner
syndrome diagnosis was
confirmed by CT venogram,
Dr. Amritendu Mukherjee,
Specialist Interventional
Radiology & Neuroradiology
at Zulekha Hospital, Dubai,
completed a
Pharmacomechanical
Thrombectomy and left common
iliac vein stenting over the
course of seven hours. The
doctor restored the venous
flow in lower left limb
while preventing any clot
migrating to the lung
circulation during the
process – an IVC (Inferior
Vena Cava) filter was placed
to prevent this.
“May Thurner syndrome is a
very rare disease and the
facilities in order to treat
this are only available in
few hospitals across the UAE.
The main challenge in this
case is the maintenance of
the patency of the stents in
long term. This is achieved
through an active lifestyle,
avoiding prolonged
immobilization, regular
follow- up and intervention
at the earliest in case of
detection of re-thrombosis.
Some of these cases may
require a long term
treatment for blood
thinning,” Dr. Mukherjee
commented.
The thrombosed vein in the
patient’s limb was accessed
under ultrasound guidance
and a pump device named
Angiojet was used to soften
the clot by spraying
recombinant tissue
plasminogen activator and
later the clots were
aspirated using the same
device. In the later stages,
the stenotic area was
crossed with a microcatheter
and microwire combination,
progressively dilated by
balloon angioplasty and then
opened completely using
three overlapping
self-expanding stents.
Patients who have May-Thurner
type of vessel configuration
can develop DVT after a
precipitating factor such as
pregnancy or prolonged
immobilization.
The patient commented:
“Before the surgery, it was
very difficult to walk or
stand as I had severe pain
in my leg. Now I feel
relieved after having gone
through a lot of pain. With
a baby now, it is essential
for me to be moving around
and managing the baby and
myself independently. Thanks
to the doctors at Zulekha
Hospital, Dubai for
diagnosing the problem after
my delivery and for treating
it in time.”
The patient will be kept on
long term anticoagulation to
thin the blood and will
attend regular follow-up
scans.
PRINT
THIS ARTICLE
|
|
|
|
|
|
|
|
