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Vein to caval bypass and insertion of suprarenal cava filter for caval occlusion

V S Sottiurai1, R C Batson, C Boustany

  • 1Department of Surgery, Louisiana State University School of Medicine, New Orleans.

The Journal of Cardiovascular Surgery
|September 1, 1989
PubMed

Insights

Inferior vena cava occlusion can occur after treatments for pulmonary embolism. Caval bypass with a Greenfield filter may help severely disabled patients with leg swelling due to caval occlusion.

Area of Science:

  • Vascular Surgery
  • Interventional Cardiology
  • Pulmonary Medicine

Background:

  • Inferior vena cava (IVC) interruption is used to prevent recurrent pulmonary embolism.
  • IVC occlusion is a known complication of these interruption procedures.
  • Lower extremity venous hypertension can significantly impair patient quality of life.

Observation:

  • Patients experiencing severe disability from lower extremity venous hypertension post-IVC occlusion were identified.
  • A case of successful caval bypass with Greenfield filter placement in such a patient is detailed.

Findings:

  • Caval bypass with concomitant Greenfield filter placement is a viable option for managing severe venous hypertension after IVC occlusion.
  • Comprehensive management includes a thorough coagulopathy workup.

Implications:

  • This approach offers a potential solution for debilitating symptoms following IVC interruption.
  • Further research may explore long-term outcomes and patient selection criteria for this procedure.

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