Endovascular Thrombectomy of Septic Thrombophlebitis of the Inferior Vena Cava: Case Report and Review of the Literature

2018 ◽  
Vol 52 (8) ◽  
pp. 641-647 ◽  
Author(s):  
Tara Talaie ◽  
Charles Drucker ◽  
Brittany Aicher ◽  
Ali Khalifeh ◽  
Brajesh Lal ◽  
...  
Keyword(s):  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Vena Cava ◽  
Review Of The Literature ◽  
Septic Thrombophlebitis ◽  
Renal Veins ◽  
Traditional Management ◽  
Endovascular Thrombectomy ◽  
Surgical Thrombectomy ◽  
Venous Segment

We describe the cases of 2 patients who had septic thrombophlebitis and were successfully managed with endovascular thrombectomy. Patient A developed septic thrombophlebitis of the inferior vena cava after several retroperitoneal resections for metastatic renal cell carcinoma. The thrombus was successfully removed via endovascular mechanical balloon thrombectomy. Patient B was a patient with pancreatic adenocarcinoma involving the portal vein who developed a septic inferior vena cava thrombus extending from the level and beyond the renal veins, for which she underwent endovascular thrombectomy. We argue that this approach is safe and feasible. It should be considered as a supplemental treatment modality for select decompensating patients who require lifesaving interventions and have contraindications to traditional management of surgical thrombectomy or excision of the involved venous segment.

Intra-abdominal Inferior Vena Cava Injuries: Operative Strategies and Outcomes

2020 ◽  
pp. 000313482097339
Author(s):  
Christine A. Castater ◽  
Margo Carlin ◽  
Virginia D. Parker ◽  
Chris Sciarretta ◽  
Deepika Koganti ◽  
...  
Keyword(s):  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Vena Cava ◽  
Mortality Rates ◽  
Volume Resuscitation ◽  
Vascular Injuries ◽  
Trauma Centers ◽  
Review Of The Literature ◽  
Hemorrhage Control ◽  
Operative Strategies

Visceral vascular injuries are relatively uncommon even in busy urban trauma centers. The inferior vena cava (IVC) is the most frequently injured visceral vein and can be a complex operative challenge. Despite advances in early volume resuscitation, improved transport times, prompt operative intervention, and hemorrhage control, mortality rates have remained largely unchanged. This article conducts an in-depth review of the literature surrounding IVC injuries and a detailed discussion of operative strategies and management as survivability is ultimately dependent on the grade of injury, location, and the presence of hemorrhagic shock.

Prevalence of Congenital Anomalies of the Inferior Vena Cava: CT Assessment in Thai Patients

2021 ◽  
Vol 104 (9) ◽  
pp. 1459-1464
Keyword(s):  
Inferior Vena Cava ◽  
Renal Vein ◽  
Inferior Vena ◽  
Left Renal Vein ◽  
Vena Cava ◽  
Renal Veins ◽  
Retrocaval Ureter ◽  
Radiology Reports ◽  
Contrast Enhanced ◽  
Study Population

Objective: To determine the prevalence of inferior vena cava (IVC) anomalies in Thai patients who underwent contrast-enhanced computed tomography (CT) of the abdomen. Materials and Methods: Two radiologists retrospectively and independently reviewed the contrast-enhanced abdominal CT examinations in 1,429 Thai patients between August 1, 2018 and January 25, 2019 who met the inclusion criteria. Patients were included, if (a) their CT showed well visualized IVC, renal veins, and right ureter that were not obliterated by tumor, cyst, fluid collection, or intraperitoneal free fluid, (b) they had not undergone previous abdominal surgery that altered anatomical configuration of the IVC, renal veins, and right ureter. The presence of all IVC anomalies were recorded. Results: Among the 1,429 studied patients, 678 were male (47.4%) and 751 were female (52.6%). The prevalence of IVC anomalies was 3.5%. Five types of IVC anomalies were presented. The most common was circumaortic left renal vein in 24 patients or 48.0% of all IVC anomalies and 1.7% of the study population, followed by retroaortic left renal vein in 15 patients or 30.0 % of all IVC anomalies and 1.0% of the study population. Other IVC anomalies included double IVC, left IVC, and retrocaval ureter at 0.5%, 0.2%, and 0.1% of the study population, respectively. Conclusion: The prevalence of IVC anomalies in the present study differed from the previous studies conducted in other countries, which may be attributable to differences in race and ethnicity. Awareness of these anomalies is essential when evaluating routine CT examinations in asymptomatic patients. Their presence should be carefully noted in radiology reports to avoid anomaly-related complications. Keywords: Prevalence; IVC anomalies; Circumaortic left renal vein; Retroaortic left renal vein; Double IVC; Left IVC; Retrocaval ureter

Repeat hepatectomy with inferior vena cava re-resection for colorectal liver metastases: case report and review of the literature

Surgery Today ◽  
2014 ◽  
Vol 45 (11) ◽  
pp. 1450-1456 ◽  
Author(s):  
Gabriele Marangoni ◽  
Abdul Hakeem ◽  
Atif Khan ◽  
Olorunda Rotimi ◽  
J. Peter Lodge
Keyword(s):  
Case Report ◽  
Inferior Vena Cava ◽  
Liver Metastases ◽  
Colorectal Liver Metastases ◽  
Inferior Vena ◽  
Vena Cava ◽  
Repeat Hepatectomy ◽  
Review Of The Literature

scholarly journals Leiomyosarcoma of the Infrarenal Inferior Vena Cava: Management in Three Cases and a Review of the Literature

2007 ◽  
Vol 34 (4) ◽  
pp. 492
Author(s):  
M. Davins ◽  
V. Artigas ◽  
A. López-Pousa ◽  
S. Vela ◽  
J. Latorre ◽  
...  
Keyword(s):  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Vena Cava ◽  
Review Of The Literature

Anomalies of the inferior vena cava and renal veins: embryologic and surgical considerations

Urology ◽  
1999 ◽  
Vol 53 (5) ◽  
pp. 873-880 ◽  
Author(s):  
Ranjiv Mathews ◽  
Patricia A Smith ◽  
Elliot K Fishman ◽  
Fray F Marshall
Keyword(s):  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Vena Cava ◽  
Renal Veins

Idiopathic spontaneous extensive iliocaval thrombosis presenting with renal infarct

2020 ◽  
Vol 13 (6) ◽  
pp. e234957
Author(s):  
Naveen Kumar ◽  
Aneesh Srivastava ◽  
Navneet Mishra ◽  
Hira Lal
Keyword(s):  
Inferior Vena Cava ◽  
Venous Thrombosis ◽  
Rare Case ◽  
Inferior Vena ◽  
Vena Cava ◽  
Renal Infarction ◽  
Renal Veins ◽  
Renal Infarct

We describe an extremely rare case of idiopathic spontaneous extensive venous thrombosis in a young man involving the inferior vena cava, the iliac veins and both renal veins associated with right haemorrhagic renal infarction with non-functioning right kidney.

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