Angiojet thrombolysis and vena cava filter insertion in a case of a duplicated inferior vena cava

Objectives: Duplication of the inferior vena cava (IVC) complicates interventional procedures. This case report aims to shed light on this unusual anomaly and the preoperative considerations necessary when treatment of venous thromboembolism is undertaken. Methods: An IRB approved case report of a 5...

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Main Authors: Stuart Blackwood, Richard Hsu
Format: Article
Language:English
Published: SAGE Publishing 2015-02-01
Series:SAGE Open Medical Case Reports
Online Access:https://doi.org/10.1177/2050313X15570649
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author Stuart Blackwood
Richard Hsu
author_facet Stuart Blackwood
Richard Hsu
author_sort Stuart Blackwood
collection DOAJ
description Objectives: Duplication of the inferior vena cava (IVC) complicates interventional procedures. This case report aims to shed light on this unusual anomaly and the preoperative considerations necessary when treatment of venous thromboembolism is undertaken. Methods: An IRB approved case report of a 58 year old woman presented emergently with right lower extremity phlegmasia due to extensive thrombosis of her right iliofemoral and infrarenal portion of her duplicated IVC. Results: The patient underwent IVC filter placement and rheolytic thrombectomy with thrombolysis using the Angiojet device followed by venoplasty and stenting of the iliofemoral system and right IVC. Complete symptomatic and radiographic resolution on duplex imaging was achieved at 1 year follow up. Conclusions: With adequate preoperative awareness of IVC anomalies and treatment options available satisfactory results can be achieved and complications minimized for this unique patient population.
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spelling doaj.art-1503cb7dc61741e9a565ad905e6d23a22022-12-21T19:02:10ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2015-02-01310.1177/2050313X1557064910.1177_2050313X15570649Angiojet thrombolysis and vena cava filter insertion in a case of a duplicated inferior vena cavaStuart BlackwoodRichard HsuObjectives: Duplication of the inferior vena cava (IVC) complicates interventional procedures. This case report aims to shed light on this unusual anomaly and the preoperative considerations necessary when treatment of venous thromboembolism is undertaken. Methods: An IRB approved case report of a 58 year old woman presented emergently with right lower extremity phlegmasia due to extensive thrombosis of her right iliofemoral and infrarenal portion of her duplicated IVC. Results: The patient underwent IVC filter placement and rheolytic thrombectomy with thrombolysis using the Angiojet device followed by venoplasty and stenting of the iliofemoral system and right IVC. Complete symptomatic and radiographic resolution on duplex imaging was achieved at 1 year follow up. Conclusions: With adequate preoperative awareness of IVC anomalies and treatment options available satisfactory results can be achieved and complications minimized for this unique patient population.https://doi.org/10.1177/2050313X15570649
spellingShingle Stuart Blackwood
Richard Hsu
Angiojet thrombolysis and vena cava filter insertion in a case of a duplicated inferior vena cava
SAGE Open Medical Case Reports
title Angiojet thrombolysis and vena cava filter insertion in a case of a duplicated inferior vena cava
title_full Angiojet thrombolysis and vena cava filter insertion in a case of a duplicated inferior vena cava
title_fullStr Angiojet thrombolysis and vena cava filter insertion in a case of a duplicated inferior vena cava
title_full_unstemmed Angiojet thrombolysis and vena cava filter insertion in a case of a duplicated inferior vena cava
title_short Angiojet thrombolysis and vena cava filter insertion in a case of a duplicated inferior vena cava
title_sort angiojet thrombolysis and vena cava filter insertion in a case of a duplicated inferior vena cava
url https://doi.org/10.1177/2050313X15570649
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AT richardhsu angiojetthrombolysisandvenacavafilterinsertioninacaseofaduplicatedinferiorvenacava