Prolonged femoral compression post percutaneous coronary intervention leading to deep vein thrombosis
Deep vein thrombosis is an uncommon yet significant complication of percutaneous coronary interventions. Prolonged manual compression at the access site, a common practice for achieving hemostasis, can inadvertently exacerbate thrombosis risks, including venous stasis and endothelial injury. We pres...
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| Format: | Article |
| Language: | English |
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SMC MEDIA SRL
2025-01-01
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| Series: | European Journal of Case Reports in Internal Medicine |
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| Online Access: | https://www.ejcrim.com/index.php/EJCRIM/article/view/5131 |
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| author | Amer Abu-Shanab Jillianne Unas Hamzeh Nasr Zain Albdour Ahmad Abdulraheem Doantrang Du |
| author_facet | Amer Abu-Shanab Jillianne Unas Hamzeh Nasr Zain Albdour Ahmad Abdulraheem Doantrang Du |
| author_sort | Amer Abu-Shanab |
| collection | DOAJ |
| description | Deep vein thrombosis is an uncommon yet significant complication of percutaneous coronary interventions. Prolonged manual compression at the access site, a common practice for achieving hemostasis, can inadvertently exacerbate thrombosis risks, including venous stasis and endothelial injury. We present the case of an 84-year-old female with coronary artery disease who underwent staged percutaneous coronary intervention with stent placement in the left circumflex and left anterior descending arteries. After the procedure, manual pressure was applied to the femoral access site for over 30 minutes, after which the patient developed hypotension and leg pain. Point-of-care ultrasound revealed a large deep vein thrombosis in the right femoral vein, extending into the profunda and saphenous veins. The patient was treated with a heparin drip and monitored without surgical intervention. Her condition improved, and follow-up imaging confirmed resolution of the deep vein thrombosis. This case underscores the risks associated with extended manual compression and highlights the importance of adhering to guidelines for post percutaneous coronary intervention care. The use of vascular closure devices may reduce the likelihood of such complications. Additionally, early recognition and management of deep vein thrombosis is critical in preventing further thromboembolic events and improving patient outcomes. |
| format | Article |
| id | doaj-art-335a9de174684468875ec311e9dab67c |
| institution | Kabale University |
| issn | 2284-2594 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | SMC MEDIA SRL |
| record_format | Article |
| series | European Journal of Case Reports in Internal Medicine |
| spelling | doaj-art-335a9de174684468875ec311e9dab67c2025-02-04T13:37:20ZengSMC MEDIA SRLEuropean Journal of Case Reports in Internal Medicine2284-25942025-01-0110.12890/2025_0051314666Prolonged femoral compression post percutaneous coronary intervention leading to deep vein thrombosisAmer Abu-Shanab0https://orcid.org/0000-0002-0986-9699Jillianne Unas1Hamzeh Nasr2Zain Albdour3Ahmad Abdulraheem4Doantrang Du5Department of Internal Medicine, Monmouth Medical Center, Long Branch, USADepartment of Internal Medicine, Monmouth Medical Center, Long Branch, USADepartment of Internal Medicine, Monmouth Medical Center, Long Branch, USAFaculty of Medicine, University of Jordan, Amman, JordanDepartment of Internal Medicine, Medstar Georgetown Washington Hospital Center, Washington, DC, USADepartment of Internal Medicine, Monmouth Medical Center, Long Branch, USADeep vein thrombosis is an uncommon yet significant complication of percutaneous coronary interventions. Prolonged manual compression at the access site, a common practice for achieving hemostasis, can inadvertently exacerbate thrombosis risks, including venous stasis and endothelial injury. We present the case of an 84-year-old female with coronary artery disease who underwent staged percutaneous coronary intervention with stent placement in the left circumflex and left anterior descending arteries. After the procedure, manual pressure was applied to the femoral access site for over 30 minutes, after which the patient developed hypotension and leg pain. Point-of-care ultrasound revealed a large deep vein thrombosis in the right femoral vein, extending into the profunda and saphenous veins. The patient was treated with a heparin drip and monitored without surgical intervention. Her condition improved, and follow-up imaging confirmed resolution of the deep vein thrombosis. This case underscores the risks associated with extended manual compression and highlights the importance of adhering to guidelines for post percutaneous coronary intervention care. The use of vascular closure devices may reduce the likelihood of such complications. Additionally, early recognition and management of deep vein thrombosis is critical in preventing further thromboembolic events and improving patient outcomes.https://www.ejcrim.com/index.php/EJCRIM/article/view/5131deep vein thrombosis (dvt)percutaneous coronary intervention (pci)femoral access complicationsmanual compressionvascular closure devices |
| spellingShingle | Amer Abu-Shanab Jillianne Unas Hamzeh Nasr Zain Albdour Ahmad Abdulraheem Doantrang Du Prolonged femoral compression post percutaneous coronary intervention leading to deep vein thrombosis European Journal of Case Reports in Internal Medicine deep vein thrombosis (dvt) percutaneous coronary intervention (pci) femoral access complications manual compression vascular closure devices |
| title | Prolonged femoral compression post percutaneous coronary intervention leading to deep vein thrombosis |
| title_full | Prolonged femoral compression post percutaneous coronary intervention leading to deep vein thrombosis |
| title_fullStr | Prolonged femoral compression post percutaneous coronary intervention leading to deep vein thrombosis |
| title_full_unstemmed | Prolonged femoral compression post percutaneous coronary intervention leading to deep vein thrombosis |
| title_short | Prolonged femoral compression post percutaneous coronary intervention leading to deep vein thrombosis |
| title_sort | prolonged femoral compression post percutaneous coronary intervention leading to deep vein thrombosis |
| topic | deep vein thrombosis (dvt) percutaneous coronary intervention (pci) femoral access complications manual compression vascular closure devices |
| url | https://www.ejcrim.com/index.php/EJCRIM/article/view/5131 |
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