Popliteal Venous Aneurysm and Multiple Lower Extremity Varicose Veins Presenting with a Left-Sided Inferior Vena Cava

Aim This study examines respiratory biometry of inferior vena cava in patients with varicose veins of lower extremities. Material and Methods We performed retrospective analysis of clinical and ultrasound data of 67 patients with primary varicose veins. Results The largest expiratory (mean 16.2 mm, p-value 0.09) and inspiratory (mean 8.2 mm, p-value 0.02) inferior vena cava diameters were in C3 Clinical Etiological Anatomical Pathophysiological clinical class; the smallest expiratory diameters (mean 13.1 mm, p-value 0.5) were in C6 class; the smallest inspiratory diameters (mean 4.6 mm, intercept) were in C2 class. C2 class was associated with highest inferior vena cava collapsibility index (mean 68.2%, intercept); C6 class was associated with lowest collapsibility index (mean 48.3%, p-value 0.04). Recurrent varices in comparison with previously untreated were associated with smaller inspiratory diameters of inferior vena cava (mean 4.4 mm, p-value 0.005), smaller expiratory diameters (mean 13.4 mm, p-value 0.06) and higher collapsibility index (mean 68.5%, p-value 0.005). Patients with recurrent and bilateral varicose veins had identical respiratory biometry of inferior vena cava. Older age was associated with smaller inferior vena cava diameters (p-value <0.01). Conclusion Clinical presentation of varicose veins is associated with different respiratory biometry of suprarenal inferior vena cava. C6 clinical class in comparison with C2 clinical class is associated with lower central venous compliance possible due to the narrowing of inferior vena cava. Smaller inferior vena cava diameters and higher collapsibility index in recurrent subgroup in comparison with previously untreated can be a sign of the significantly altered pressure gradient between the systemic capillaries and the right heart and impaired peripheral venous return. Narrowing of inferior vena cava with age can be a sign of more profound changes in systemic venous return with age in patients with varicose veins in comparison to those without chronic venous disease.

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Rare case of a kidney and inferior vena cava abnormalities with extensive lower extremity deep vein thrombosis in a young healthy male

Clinics and Practice ◽

10.4081/cp.2018.1079 ◽

2018 ◽

Vol 8 (4) ◽

Cited By ~ 1

Author(s):

Muhammad Khalid ◽

Manisha Nukavarapu ◽

Rupal Shah ◽

Timir K. Paul

Keyword(s):

Deep Vein Thrombosis ◽

Inferior Vena Cava ◽

Lower Extremity ◽

Rare Case ◽

Inferior Vena ◽

Left Kidney ◽

Vena Cava ◽

Healthy Male ◽

Vein Thrombosis ◽

Deep Vein

Kidney and inferior vena cava (IVC) abnormalities with extensive deep vein thrombosis (DVT) is a very rare cause of DVT and has a diverse clinical presentation. Computed tomography (CT) angiography is the gold standard for diagnosis and treatment including thrombectomy, thrombolysis and systemic anticoagulation. We present a rare case of active young healthy male admitted with acute onset of right lower extremity pain and swelling who was found to have extensive DVT on doppler ultrasound. CT abdomen showed extensive clot burden involving right common femoral vein extending into internal and external iliac veins associated with IVC hypoplasia and hypoplastic left kidney. Patient underwent urgent thrombectomy, catheter directed thrombolysis and was discharged home in stable condition on oral anticoagulation.

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A Rare Case of Recurrent Lower Extremity Ulcer

The International Journal of Lower Extremity Wounds ◽

10.1177/1534734619870098 ◽

2019 ◽

Vol 18 (4) ◽

pp. 389-392 ◽

Cited By ~ 1

Author(s):

Wei Zhu ◽

Huapei Song

Keyword(s):

Inferior Vena Cava ◽

Lower Extremity ◽

Inferior Vena ◽

Vena Cava ◽

Venous Blood Flow ◽

Leg Ulcers ◽

Budd Chiari Syndrome ◽

Pressure Therapy ◽

Venous Leg Ulcers ◽

Chiari Syndrome

Venous leg ulcers are a manifestation of lower extremity chronic venous disorder. Venous hypertension caused by abnormal venous blood flow is considered to be the primary mechanism of venous ulcers. The etiology of lower extremity venous ulcer is complicated, and it is difficult to be treated. At present, it has achieved a certain effect for venous leg ulcers through the combination of drugs, pressure therapy, and surgical treatment. Budd-Chiari syndrome is a rare syndrome characterized by portal hypertension and/or inferior vena cava syndrome. Treatment of Budd-Chiari syndrome includes anticoagulation, thrombolysis, angioplasty, stenting, transjugular intrahepatic portosystemic shunt, and liver transplantation. This article reports an elderly female patient with recurrent ulceration of both lower extremities that healed poorly after long-term dressing and skin grafting. During further examination, she was found to have Budd-Chiari syndrome. Through multidisciplinary treatment, which includes removing the inferior vena cava stenosis and implanting the ulcer wound, the ulcer wounds then healed.

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Varicose veins: Look before you strip – the occluded inferior vena cava and other lurking pathologies

South African Medical Journal ◽

10.7196/samj.8395 ◽

2014 ◽

Vol 104 (10) ◽

pp. 668

Author(s):

Taole Mokoena

Keyword(s):

Inferior Vena Cava ◽

Inferior Vena ◽

Varicose Veins ◽

Vena Cava

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Modified one-session endovascular treatment for deep venous thrombosis with high risk of pulmonary embolism: Short-term outcomes

Phlebology The Journal of Venous Disease ◽

10.1177/0268355520904270 ◽

2020 ◽

Vol 35 (7) ◽

pp. 524-532

Author(s):

Wei Li ◽

Yu Yin ◽

Chengtao Gu ◽

Baorui Fan ◽

Pengfei Duan ◽

...

Keyword(s):

Inferior Vena Cava ◽

Lower Extremity ◽

Endovascular Treatment ◽

Inferior Vena Cava Filter ◽

Inferior Vena ◽

Vena Cava ◽

Iliac Vein ◽

Vena Cava Filter ◽

Filter Placement ◽

One Stage

Objectives To evaluate the safety and short-term outcomes of the modified one-session endovascular treatment with inferior vena cava filter placement and retrieval in one stage for the treatment of acute lower extremity deep vein thrombosis. Method Twenty-three patients with unilateral acute lower extremity deep vein thrombosis underwent modified one-session endovascular treatments, which were performed in one stage. Inferior vena cava filter placement without detachment, thrombectomy, and inferior vena cava filter retrieval were performed in one stage. Angioplasty and stent implantation were performed for patients with iliac vein stenosis. Venography was performed to identify the clearance of the thrombus. Color Doppler ultrasound and/or venography were conducted during the follow-up. Results A total of 20/23 (87%) patients with thrombus removal rate >90% successfully underwent modified one-session endovascular treatment. inferior vena cava filters were detached in 3/23 (13%) patients achieving 50%–90% thrombus removal rate. Twenty-one iliac vein stents were implanted in 21/23 (91%) patients with iliac vein stenosis. After treatment, the differences in the circumferences of the affected limb and the healthy limb both significantly decreased. No procedure-related death, symptomatic pulmonary embolism, or major bleeding occurred. During the 12–25 months of follow-up, iliac vein stents and lower extremity veins maintained patent. Conclusions The modified one-session endovascular treatment with one-stage inferior vena cava filter placement and retrieval might be safe for the treatment of acute lower extremity deep vein thrombosis, and the early clinical outcomes are satisfactory. Placing and retrieving an inferior vena cava filter in one session could safeguard the endovascular interventions as well as reduce the filter-related complications associated with long dwelling times.

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