Page 73 - Virtual Vascular Volume 7
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Pulmonary Embolism
A 79 years old lady underwent a radiofrequency ablation (RFA) of her right Deep vein thrombosis and pulmonary embolism are rare but potentially life
greater saphenous vein for varicose veins. She collapsed on day 2 with a threatening complications after endovenous thermal ablation for varicose veins.
low SaO2 of 60% and quickly went into cardiac arrest. Suspecting pulmo- Endovenous heat induced thrombus may be treated by temporary anticoagula-
nary embolism she underwent emergency pulmonary angiography and the tion but large thrombus may cause a pulmonary embolism. PE is very rare and
diagnosis was confirmed. It was salvaged with a balloon opening a channel reported incidences ranged from 0.1%-0.3% after endovenous treatment.
followed by aggressive thrombolysis with urokinase.
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