PMC9364187_01
Computed tomography showing a central venous catheter in the superior vena cava with
associated thrombus (arrow).
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Moreover, follow-up CT scan showed considerable clot progression adherent to the wall of the in the SVC (Figure 1).
(a) Fluoroscopy showing the Capturex  filter placed in the superior vena cava (arrow).
(b) Phlebography of the superior vena cava showing thrombus (arrow). (c) Fluoroscopy
showing the fragmentation basket (arrow) used to detach wall-adherent thrombus followed
by rotational thrombectomy using the Aspirex  device (not shown). (d) Phlebography
demonstrating thrombus removal and venous patency.
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Avanti  sheath (Cordis, Hialeah, FL, USA) and a transfemoral access using a 60 cm 10 French sheath from the Capturex  filter were established. A transjugular phlebography was performed identifying the clot in the SVC (Figure 2(b)). Transfemorally, the peri-interventional filter was positioned in the SVC (Figure 2(a)), which was later slightly retracted to avoid interference between the filter and the RAT fragmentation basket. Via transjugular access, a mechanical shaving of a wall-adherent, organized thrombus was achieved using a RAT fragmentation basket  (Bard, Covington, GA, USA) (Figure 2(c)), which showed incomplete therapeutic success. AG, Wangs, SG, Switzerland) was used. After consecutive thrombectomy runs, successful clot removal was demonstrated (Figure 2(d)). After retrieving the peri-interventional cava filter, residual clots captured inside the filter were visible (Figure 3).
After retrieving of the peri-interventional cava filter Capturex  clots caught in the
filter were visualized.
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AG, Wangs, SG, Switzerland) was used. After consecutive thrombectomy runs, successful clot removal was demonstrated (Figure 2(d)). After retrieving the peri-interventional cava filter, residual clots captured inside the filter were visible (Figure 3).