Related Experiment Video

Updated: Dec 7, 2025

Author Spotlight: Utilizing Venoplasty Balloon Model in Rodents to Simulate Surgical Interventions for Deep Veins
05:44

Author Spotlight: Utilizing Venoplasty Balloon Model in Rodents to Simulate Surgical Interventions for Deep Veins

Published on: May 24, 2024

938

Endovascular therapy for floating thrombus in the inferior vena cava

Zhi-Wen Zhang1, Xue-Ming Chen1, Ren-Ming Zhu1

  • 1Department of Vascular Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing, China.

The Journal of International Medical Research
|September 25, 2020
PubMed

Insights

Floating thrombus in the inferior vena cava (IVC) often arises from branch vein thrombosis and can lead to pulmonary embolism. Treatment with anticoagulation and debulking, protected by IVC filters, yields good outcomes.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Cardiology

Background:

  • Floating thrombus in the inferior vena cava (IVC) presents a significant risk for pulmonary embolism.
  • Understanding the clinical characteristics and predisposing factors is crucial for effective management.

Purpose of the Study:

  • To summarize the clinical characteristics of patients with floating thrombus in the IVC.
  • To review the diagnostic and therapeutic approaches for IVC floating thrombus.

Main Methods:

  • A retrospective review of four patients with IVC floating thrombus treated between January 2014 and June 2019.
  • Analysis of diagnostic methods (inferior venacavography, contrast-enhanced CT), predisposing conditions, and intracavitary therapies.

Main Results:

  • Pulmonary embolism was present in three patients.
  • Predisposing factors included deep venous thrombosis, double IVC, iliac vein compression syndrome, and renal phlebothrombosis.
  • All patients received temporary IVC filters, anticoagulation, debulking, and thrombolysis with satisfactory results.

Conclusions:

  • Floating IVC thrombus often originates from branch vein thrombosis and carries a high risk of pulmonary embolism.
  • Combined therapy of anticoagulation and debulking, with IVC filter protection, is effective in managing IVC floating thrombus.
Abstract

Keywords:
Inferior vena cavaanti-coagulant therapycatheter-directed thrombolysisfloating thrombusinferior venacavographypulmonary embolism

More Related Videos

Catheter-based Endovascular Angioplasty for Fibrosing Mediastinitis-associated Pulmonary Vein Stenosis06:59

Catheter-based Endovascular Angioplasty for Fibrosing Mediastinitis-associated Pulmonary Vein Stenosis

Published on: August 26, 2025

397
Electrolytic Inferior Vena Cava Model EIM of Venous Thrombosis06:03

Electrolytic Inferior Vena Cava Model EIM of Venous Thrombosis

Published on: July 12, 2011

17.5K

Related Concept Videos

Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
170
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care01:29

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
147
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies01:20

Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies

The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
172
Venous Thrombosis I: Introduction01:30

Venous Thrombosis I: Introduction

Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
154
Varicose Veins II: Diagnostic Studies and Interprofessional Care01:26

Varicose Veins II: Diagnostic Studies and Interprofessional Care

Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
91
Venous Thrombosis IV: Nursing Management01:30

Venous Thrombosis IV: Nursing Management

Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
127