scholarly journals Management of inferior vena cava injury and secondary thrombosis after percutaneous nephrolithotomy: a case report

2021 ◽  
Vol 49 (11) ◽  
pp. 030006052110588
Author(s):  
Pan Li ◽  
Dengjiu Mao ◽  
Jie Zhou ◽  
Hongmei Sun
Keyword(s):  
Inferior Vena Cava ◽  
Percutaneous Nephrolithotomy ◽  
Open Surgery ◽  
Inferior Vena ◽  
Vena Cava ◽  
Urinary Calculi ◽  
Major Complication ◽  
Peripheral Vascular ◽  
Treatment Regimens ◽  
Repeated Infection

Percutaneous nephrolithotomy (PCNL) remains an important method for treating upper urinary calculi. However, bleeding and peripheral vascular injury are serious complications of PCNL. Injury of the inferior vena cava accompanied by secondary thrombosis has rarely been reported clinically. We treated a patient who experienced bleeding during PCNL to establish a channel. A catheter was used to make a renal fistula, and the inferior vena cava was implanted. The wound was fixed and compressed by balloon injection, and secondary thrombosis and repeated infection occurred after the operation. A filter was then placed, the water balloon was released, and the fistula was removed. The anti-bacterial and anticoagulant filter was removed. This major complication was successfully managed. In our patient, during PCNL, the renal fistula entered the inferior vena cava by mistake. If this issue cannot be treated in time, it can easily lead to the formation of secondary thrombosis. A fistula can be extracted through an inferior vena cava filter, and anticoagulant treatment and other conservative treatment regimens can be used to treat patients in this situation. These treatments avoid the possibility of further damage from open surgery.

Caval pseudoaneurysms following complex inferior vena cava filter removal: Clinical significance and patient outcomes

Vascular ◽  
2020 ◽  
pp. 170853812096121
Author(s):  
Mohamad Omar Hadied ◽  
Mark Hieromnimon ◽  
Jordan Kapke ◽  
Karan Nijhawan ◽  
Thuong Van Ha ◽  
...  
Keyword(s):  
Inferior Vena Cava ◽  
Clinical Significance ◽  
Inferior Vena Cava Filter ◽  
Inferior Vena ◽  
Vena Cava ◽  
Major Complication ◽  
Vena Cava Filter ◽  
Invasive Treatment ◽  
Filter Retrieval ◽  
Treatment Type

Objectives To investigate the incidence and clinical significance of caval pseudoaneurysm and extravasation post-complex inferior vena cava filter retrieval. Methods A total of 83 patients (70% female, average age 56) underwent complex inferior vena cava filter retrieval between January 2015 and December 2019 utilizing either rigid endobronchial forceps ( n = 69, 83%) and/or excimer laser ( n = 20, 24%). Procedural variables were recorded. The incidence and size of caval pseudoaneurysms and extravasation along with treatment type and clinical outcomes were analyzed. Results Technical success in all cases was 96% (n = 80). Average fluoroscopy time was 23 min (median: 20.2, range: 0.9–129.5). Average filter dwell time was 85 months (range: 2–316 months). Caval pseudoaneurysm was detected on post-retrieval venography in 10 patients (12%) and frank extravasation occurred in 1 case (1%). Average pseudoaneurysm length and width was 20.4 mm (range: 5–45 mm) and 12.9 mm (range: 4–24 mm), respectively. Pseudoaneurysms occurred most frequently during the removal of Optease ( n = 5) and Celect ( n = 2) filters. The pseudoaneurysms completely resolved with prolonged (>5 min) balloon angioplasty in all but one instance where a small portion of the pseudoaneurysm persisted. This patient was admitted and observed overnight before being discharged without complication. The solitary case of significant extravasation was effectively managed with immediate stent placement and the patient remained hemodynamically stable. Conclusions Radiographically detectable caval pseudoaneurysm and extravasation is not uncommon in complex inferior vena cava filter retrieval and, despite being considered a major complication by Society of Interventional Radiology guidelines, can often be managed without stenting or other invasive treatment.

scholarly journals Cattell-Braasch Maneuver: A Gadget to Manipulate Abdominal Aortic Aneurysm in a Patient with a Left-Sided Inferior Vena Cava

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Akiko Tobe ◽  
Takuro Shirasu ◽  
Takatoshi Furuya ◽  
Motoki Nagai ◽  
Yukihiro Nomura
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Inferior Vena Cava ◽  
Open Surgery ◽  
Inferior Vena ◽  
Vena Cava ◽  
Postoperative Course ◽  
Aneurysm Neck ◽  
Abdominal Aortic ◽  
The Right

A 76-year-old man was diagnosed with abdominal aortic aneurysm and a left-sided inferior vena cava. He underwent open surgery, and we employed the Cattell-Braasch maneuver to approach the abdominal aortic aneurysm from the right side. This enabled securing of the abdominal aortic aneurysm neck without mobilizing or dissecting the inferior vena cava. His postoperative course was uneventful. Although abdominal aortic aneurysm is typically approached from the left side in open surgery, approaching from the right side is beneficial in patients with abdominal aortic aneurysm and a left-sided inferior vena cava.

scholarly journals Percutaneous silicon catheter insertion into the IVC, following percutaneous nephrostomy (PCN) exchange

2013 ◽  
Vol 7 (7-8) ◽  
pp. 505 ◽  
Author(s):  
Ahmed F Kotb ◽  
Ahmed Elabbady ◽  
Khaled Mohamed ◽  
Mohamed Adel Atta
Keyword(s):  
Inferior Vena Cava ◽  
Percutaneous Nephrolithotomy ◽  
Renal Vein ◽  
Inferior Vena ◽  
Left Renal Vein ◽  
Vena Cava ◽  
Percutaneous Nephrostomy ◽  
Fluoroscopic Guidance ◽  
Nephrostomy Tube ◽  
Tube Exchange

Percutaneous nephrostomy (PCN) has been widely used to drain an infected, obstructed kidney. Few major complications have been associated with it. Few publications have reported the misplacement of nephrostomy tube into the inferior vena cava (IVC), following percutaneous nephrolithotomy. We report a case of a misplaced silicon catheter, through the left renal vein, extending into the IVC, following nephrostomy tube exchange. Our case was safely managed, and we concluded that although PCN and nephrostomy tube exchange are relatively simple procedures, they should be done cautiously, by a well-trained urologist, and preferably under ultrasound or fluoroscopic guidance.

V1219: Laparoscopic Repair of an Inferior Vena Cava Injury during a Right Partial Nephrectomy

2006 ◽  
Vol 175 (4S) ◽  
pp. 392-393
Author(s):  
Fernando P. Secin ◽  
Zohar A. Dotari ◽  
Bobby Shayegan ◽  
Semra Olgac ◽  
Bertrand Guillonneau ◽  
...  
Keyword(s):  
Inferior Vena Cava ◽  
Partial Nephrectomy ◽  
Laparoscopic Repair ◽  
Inferior Vena ◽  
Vena Cava
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