Pulmonary Embolism following Radiofrequency Ablation for Varicose Vein Treated with Thrombolytic Therapy: A Case Report and Review of Literature

Palanisamy, Jayakumar; Robinson, Saravanan; Maruthupandian, Dhevendran; Ganesh, Rajagopal

doi:10.4103/ijves.ijves_1_17

Cited by 2 publications

(2 citation statements)

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“…11,12 Multiple studies that assessed patients who had undergone EVA procedures discovered thrombotic complications. 4,[13][14][15][16][17][18] Reported incidence of EHIT in literature widely ranges from 0% to 8% post-EVA. 3,5 The incidence of DVT and PE post-EVA has also been reported to range from 0.5% to 7.7% and 0.2% to 0.3%, respectively.…”

Section: Endovenous Ablationmentioning

confidence: 99%

“…Thus, postoperative duplex exams of the affected area are generally recommended 1 to 2 weeks post-EVA to rule out DVT and EHIT. 15,21 Early detection of thrombus is important for early treatment and to decrease the risk of developing life-threatening complications such as PE, which has a mortality rate of 11% to 23% if left untreated. 6…”

Section: Endovenous Ablationmentioning

confidence: 99%

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Acute Thrombotic Complication Post-Endovenous Ablation With Mobile Thrombus: A Case Study

O’Brien

Mohammad

2019

Journal of Diagnostic Medical Sonography

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Endovenous ablation is a common procedure performed on the superficial veins of the lower extremities to treat symptoms of venous insufficiency and varicose veins. While endovenous ablation is a minimally invasive procedure, patients may develop thrombotic complications including endovenous heat-induced thrombosis. Endovenous heat-induced thrombosis is a rare complication of thrombus extension from the superficial vein into or near the deep system postprocedure. In this case report, a female with a history of recent endovenous ablation presented to the emergency department with symptoms of a pulmonary embolism. Sonographic evaluation of the right lower extremity revealed extension of thrombus from the ablated superficial vein into the common femoral vein. Thrombus was also noted in the left lower extremity extending from the ablated superficial vein to approximately the saphenofemoral junction. While the left lower extremity was being interrogated, the thrombus was documented, via a cine clip, liberating from the occluded great saphenous vein. Further assessment utilizing computed tomography revealed bilateral pulmonary emboli. This unique case emphasizes the importance of sonographic evaluation post-endovenous ablation.

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