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Treatment of Inferior Vena Cava Thrombosis by Endovascular Stenting: A Case Report

Usman Sarwar1, Nikky Bardia1, Maulikumar Patel1

  • 1Division of Cardiology, University of South Alabama, Mobile, USA.

Cureus
|December 27, 2021
PubMed

Insights

Inferior vena cava (IVC) thrombosis treatment is challenging. Successful recanalization restored IVC flow in a liver cirrhosis patient, resolving symptoms and demonstrating a viable interventional option.

Area of Science:

  • Vascular Medicine
  • Interventional Radiology
  • Hepatology

Background:

  • Optimal treatment for inferior vena cava (IVC) thrombosis is not well-defined, particularly in patients with anticoagulation contraindications.
  • Limited interventional options further complicate management strategies for IVC thrombosis.

Observation:

  • A 62-year-old male patient with advanced liver cirrhosis presented with severe abdominal pain and leg swelling due to IVC thrombosis.
  • The patient had contraindications for anticoagulation therapy, necessitating alternative treatment approaches.

Findings:

  • Successful recanalization of the IVC was achieved using a combined transjugular and common femoral approach.
  • A 22 × 70 mm Wallstent was deployed to restore IVC flow.
  • The patient experienced complete resolution of symptoms following the intervention.

Implications:

  • This case highlights the potential efficacy of endovascular recanalization and stenting for managing IVC thrombosis in complex patient populations.
  • Successful intervention offers a valuable alternative for patients with contraindications to anticoagulation.
  • Further research into interventional strategies for IVC thrombosis is warranted.

Keywords:
computed tomographydeep vein thrombosisendovascular proceduresinferior vena cavainternal jugular vein

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