Author/Authors :
Harmon, Evan University of Virginia Health System, Charlottesville, VA, USA , Lee, Yoo Jin University of Virginia Health System, Charlottesville, VA, USA , Mazimba, Sula University of Virginia Health System, Charlottesville, VA, USA , Singh, Kanwar University of Virginia Health System, Charlottesville, VA, USA , Sharma, Aditya University of Virginia Health System, Charlottesville, VA, USA , Kwon, Younghoon University of Virginia Health System, Charlottesville, VA, USA
Abstract :
Deep vein thrombosis (DVT) after femoral arterial access is a rare complication of left heart catheterization (LHC). The reasons for
paradoxical venous clot formation after arterial access are identifiable in some cases but less clear in others. Here, we present one
case of provoked DVT after femoral access followed by a second case in which clot formation appears to be spontaneous.
Additionally, though each of the patients presented here demonstrated thrombus resolution, only one received anticoagulation.
These cases highlight the complex pathophysiology of DVT following femoral arterial access and the challenges of management
strategy selection.