{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T17:49:40Z","timestamp":1755798580932,"version":"3.44.0"},"reference-count":9,"publisher":"SMC Media","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>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.<\/jats:p>","DOI":"10.12890\/2025_005131","type":"journal-article","created":{"date-parts":[[2025,1,29]],"date-time":"2025-01-29T06:34:39Z","timestamp":1738132479000},"source":"Crossref","is-referenced-by-count":0,"title":["Prolonged femoral compression post percutaneous coronary intervention leading to deep vein thrombosis"],"prefix":"10.12890","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0986-9699","authenticated-orcid":false,"given":"Amer","family":"Abu-Shanab","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Monmouth Medical Center, Long Branch, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jillianne","family":"Unas","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Monmouth Medical Center, Long Branch, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hamzeh","family":"Nasr","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Monmouth Medical Center, Long Branch, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zain","family":"Albdour","sequence":"first","affiliation":[{"name":"Faculty of Medicine, University of Jordan, Amman, Jordan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmad","family":"Abdulraheem","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Medstar Georgetown Washington Hospital Center, Washington, DC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Doantrang","family":"Du","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Monmouth Medical Center, Long Branch, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10397","published-online":{"date-parts":[[2025,1,29]]},"reference":[{"key":"10.12890\/2025_005131_ref1","doi-asserted-by":"crossref","unstructured":"<li>Cushman M. Epidemiology and risk factors for venous thrombosis. <em>Semin Hematol<\/em> 2007;<strong>44<\/strong>:62-69.<\/li>","DOI":"10.1053\/j.seminhematol.2007.02.004"},{"key":"10.12890\/2025_005131_ref2","doi-asserted-by":"crossref","unstructured":"<li>Min SY, Shin JH, Lee SW, Doo E, Kim BK, Won YW, et al. A Case of Deep Vein Thrombosis after Coronary Angiography in a Patient Using Antidepressants and Anxiolytics. <em>Korean Circ J<\/em> 2013;<strong>43<\/strong>:132-134. <\/li>","DOI":"10.4070\/kcj.2013.43.2.132"},{"key":"10.12890\/2025_005131_ref3","doi-asserted-by":"crossref","unstructured":"<li>Disler L, Disler M, Biddle DD, Friedman C, Couper-Smith J. Femoral Vein Thrombosis Following Femoral Access Cardiac Catheterisation - A Rare Complication. <em>Cardiovasc Revasc Med<\/em> 2023;<strong>53S<\/strong>:S224-S226.<\/li>","DOI":"10.1016\/j.carrev.2022.06.263"},{"key":"10.12890\/2025_005131_ref4","unstructured":"<li>Filis K, Arhontovasilis F, Theodorou D, Albanopoulos K, Lagoudianakis E, Manouras A et al. Management of early and late detected vascular complications following femoral arterial puncture for cardiac catheterization. <em>Hellenic J Cardiol<\/em> 2007;<strong>48<\/strong>:134-142.<\/li>"},{"key":"10.12890\/2025_005131_ref5","doi-asserted-by":"crossref","unstructured":"<li>Roy S, Kabach M, Patel DB, Guzman LA, Jovin IS. Radial Artery Access Complications: Prevention, Diagnosis and Management. <em>Cardiovasc Revasc Med<\/em> 2022;<strong>40<\/strong>:163-171.<\/li>","DOI":"10.1016\/j.carrev.2021.12.007"},{"key":"10.12890\/2025_005131_ref6","doi-asserted-by":"crossref","unstructured":"<li>Cheng TW, Farber A, King EG, Levin SR, Arinze N, Malas MB et al. Access site complications are uncommon with vascular closure devices or manual compression after lower extremity revascularization. <em>J Vasc Surg<\/em> 2022;<strong>76<\/strong>:788-796.e2.<\/li>","DOI":"10.1016\/j.jvs.2022.03.890"},{"key":"10.12890\/2025_005131_ref7","unstructured":"<li>American College of Cardiology, Reduce the Risk: PCI Bleed Campaign Steering Committee. Post-PCI sheath removal protocol [Internet]. 2018 [cited 2025 Jan 22]. Available from: https:\/\/cvquality.acc.org\/docs\/default-source\/pci-bleeding-risk-checklist\/8-post-pci-sheath-removal-protocolpdf.pdf?sfvrsn=6e5d8dbf_0<\/li>"},{"key":"10.12890\/2025_005131_ref8","doi-asserted-by":"crossref","unstructured":"<li>Stone J, Hangge P, Albadawi H, Wallace A, Shamoun F, Knuttien MG et al. Deep vein thrombosis: pathogenesis, diagnosis, and medical management. <em>Cardiovasc Diagn Ther<\/em> 2017;<strong>7<\/strong>:S276-S284.<\/li>","DOI":"10.21037\/cdt.2017.09.01"},{"key":"10.12890\/2025_005131_ref9","doi-asserted-by":"crossref","unstructured":"<li>Saha P, Black S, Breen K, Patel A, Modarai B, Smith A. Contemporary management of acute and chronic deep venous thrombosis. <em>Br Med Bull<\/em> 2016;<strong>117<\/strong>:107-120.<\/li>","DOI":"10.1093\/bmb\/ldw006"}],"container-title":["European Journal of Case Reports in Internal Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/5131\/4473","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/5131\/4474","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/5131\/4474","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,19]],"date-time":"2025-08-19T09:41:53Z","timestamp":1755596513000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/view\/5131"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,29]]},"references-count":9,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.12890\/2025_005131","relation":{"has-manifestation":[{"id-type":"other","id":"1-122-5131-g4473","asserted-by":"subject"},{"id-type":"other","id":"1-122-5131-g4474","asserted-by":"subject"}],"is-part-of":[{"id-type":"other","id":"1-122","asserted-by":"subject"}]},"ISSN":["2284-2594"],"issn-type":[{"type":"electronic","value":"2284-2594"}],"subject":[],"published":{"date-parts":[[2025,1,29]]}}}