A Case of Deep Vein Thrombosis from the Left Popliteal Vein to the Inferior Vena Cava, with Disappearance of Thrombus Due to Inferior Vena Cava Filter Placement, Thrombolytic Therapy, and Oral Administration of Anticoagulants

Abstract

A 71-year-old female patient was transferred to our hospital complaining of left leg swelling and pain with suspected of DVT. CT showed sequential venous thrombus from peripheral tibial veins to IVC. We performed emergent temporary IVC filter implacement, transvenous thrombolytic therapy, and intensive oral rivaroxaban treatment for severe venous thrombus. One month after treatment, CT revealed venous thrombus disappeared from popliteal vein to IVC, but residual thrombus in left external iliac vein. Two month after treatment, the thrombus in left iliac vein was disappeared, and we could retrieve IVC filter safely.