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Venovenous bypass using continuous renal replacement therapy and endovascular inferior vena cava reconstruction to treat bilateral massive iliocaval deep venous thrombosis
Many inferior vena cava (IVC) anomalies remain asymptomatic because of collateral circulation, but thrombosis of these channels can cause acute deep venous thrombosis with serious sequelae. For those with threatened limbs, anticoagulation is the mainstay of treatment, with endovascular pharmacomecha...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6806639/ https://www.ncbi.nlm.nih.gov/pubmed/31660468 http://dx.doi.org/10.1016/j.jvscit.2019.04.004 |
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author | Heafner, Thomas Nissen, Alexander P. Schechtman, David Alderete, Joseph F. Arthurs, Zachary M. Propper, Brandon W. |
author_facet | Heafner, Thomas Nissen, Alexander P. Schechtman, David Alderete, Joseph F. Arthurs, Zachary M. Propper, Brandon W. |
author_sort | Heafner, Thomas |
collection | PubMed |
description | Many inferior vena cava (IVC) anomalies remain asymptomatic because of collateral circulation, but thrombosis of these channels can cause acute deep venous thrombosis with serious sequelae. For those with threatened limbs, anticoagulation is the mainstay of treatment, with endovascular pharmacomechanical thrombolysis replacing open surgical thrombectomy. Described is a severe case of massive iliocaval deep venous thrombosis with bilateral lower extremity Rutherford IIb acute limb ischemia in a patient with congenital IVC atresia. After initial thrombolysis, endovascular IVC reconstruction was accomplished to decompress the lower extremities. The patient ultimately required a right through-knee amputation but remains ambulatory with a prosthetic. |
format | Online Article Text |
id | pubmed-6806639 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-68066392019-10-28 Venovenous bypass using continuous renal replacement therapy and endovascular inferior vena cava reconstruction to treat bilateral massive iliocaval deep venous thrombosis Heafner, Thomas Nissen, Alexander P. Schechtman, David Alderete, Joseph F. Arthurs, Zachary M. Propper, Brandon W. J Vasc Surg Cases Innov Tech Iliocaval deep vein thrombosis Many inferior vena cava (IVC) anomalies remain asymptomatic because of collateral circulation, but thrombosis of these channels can cause acute deep venous thrombosis with serious sequelae. For those with threatened limbs, anticoagulation is the mainstay of treatment, with endovascular pharmacomechanical thrombolysis replacing open surgical thrombectomy. Described is a severe case of massive iliocaval deep venous thrombosis with bilateral lower extremity Rutherford IIb acute limb ischemia in a patient with congenital IVC atresia. After initial thrombolysis, endovascular IVC reconstruction was accomplished to decompress the lower extremities. The patient ultimately required a right through-knee amputation but remains ambulatory with a prosthetic. Elsevier 2019-10-05 /pmc/articles/PMC6806639/ /pubmed/31660468 http://dx.doi.org/10.1016/j.jvscit.2019.04.004 Text en http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Iliocaval deep vein thrombosis Heafner, Thomas Nissen, Alexander P. Schechtman, David Alderete, Joseph F. Arthurs, Zachary M. Propper, Brandon W. Venovenous bypass using continuous renal replacement therapy and endovascular inferior vena cava reconstruction to treat bilateral massive iliocaval deep venous thrombosis |
title | Venovenous bypass using continuous renal replacement therapy and endovascular inferior vena cava reconstruction to treat bilateral massive iliocaval deep venous thrombosis |
title_full | Venovenous bypass using continuous renal replacement therapy and endovascular inferior vena cava reconstruction to treat bilateral massive iliocaval deep venous thrombosis |
title_fullStr | Venovenous bypass using continuous renal replacement therapy and endovascular inferior vena cava reconstruction to treat bilateral massive iliocaval deep venous thrombosis |
title_full_unstemmed | Venovenous bypass using continuous renal replacement therapy and endovascular inferior vena cava reconstruction to treat bilateral massive iliocaval deep venous thrombosis |
title_short | Venovenous bypass using continuous renal replacement therapy and endovascular inferior vena cava reconstruction to treat bilateral massive iliocaval deep venous thrombosis |
title_sort | venovenous bypass using continuous renal replacement therapy and endovascular inferior vena cava reconstruction to treat bilateral massive iliocaval deep venous thrombosis |
topic | Iliocaval deep vein thrombosis |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6806639/ https://www.ncbi.nlm.nih.gov/pubmed/31660468 http://dx.doi.org/10.1016/j.jvscit.2019.04.004 |
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