Acute thrombosis of the inferior vena cava

Giordano, Philip; Weber, Kurt; Davis, Michael J.; Carter, Eric

doi:10.1016/j.ajem.2005.12.018

Cited by 30 publications

(39 citation statements)

References 23 publications

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“…60 However, duplex USS is operator-dependent and can be limited by body habitus and the presence of bowel gas, and may occasionally fail to identify any IVC anomaly. 1,61 Duplex USS also has diminished diagnostic reliability within the abdomen owing to difficulty in assessing venous compressibility combined with loss of respiratory phasicity above the renal veins because of retrograde transmission of the cardiac cycle through the valveless IVC. 61 USS may identify aetiologies causing extrinsic compression of the IVC or IVC anomalies.…”

Section: Radiologicalmentioning

confidence: 99%

“…Local thrombolysis, IVC filters, angioplasty and stenting can be performed concurrently. 1 However, it is invasive, occasionally requiring proximal supraclavicular access in addition to distal femoral, to delineate cranial and caudal thrombus limits and is itself associated with a 2-10% incidence of post-procedural DVT. 1 It is limited to endoluminal imaging.…”

Section: Radiologicalmentioning

confidence: 99%

“…57 Duplex USS provides an accurate non-invasive method of diagnosing IVC thrombosis and is often the first-line investigative modality. 1 Normality includes a continuous waveform with respiratory variations which become more pulsatile as the IVC empties into the right atrium. Thrombosis can cause the IVC waveform to appear monophasic, with high velocities giving it a 'choppy' appearance.…”

Section: Radiologicalmentioning

confidence: 99%

“…IVC thrombosis remains under-recognised, as it is not commonly pursued or identified. 1 Consequently, IVC thrombosis can present the clinician with a diagnostic and therapeutic challenge rarely discussed as a separate entity. Despite sparse Level I evidence, this review aims to heighten clinicians' awareness of IVC thrombosis -summarising the epidemiology, aetiology, clinical presentation, investigation, treatment, prognosis and patient outcome in IVC thrombosis.…”

Section: Introductionmentioning

confidence: 99%

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Inferior vena cava thrombosis: A review of current practice

et al. 2013

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Inferior vena cava (IVC) thrombosis remains under-recognised as it is often not pursued as a primary diagnosis. The aetiology of IVC thrombosis can be divided into congenital versus acquired, with all aetiological factors found among Virchow's triad of stasis, injury and hypercoagulability. Signs and symptoms are related to aetiology and range from no symptoms to cardiovascular collapse. Painful lower limb swelling combined with lower back pain, pyrexia, dilatation of cutaneous abdominal wall veins and a concurrent rise in inflammatory markers are suggestive of IVC thrombosis. Following initial lower limb venous duplex, magnetic resonance imaging (MRI) is the optimal non-invasive imaging tool. Aetiology directs treatment, which ranges from anticoagulation and lower limb compression to open surgery, with endovascular therapies increasingly favoured. The objective of this review is to assess current literature on the aetiology, presentation, investigation, treatment, prognosis and other factors pertaining to IVC thrombosis.

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Section: Radiologicalmentioning

confidence: 99%

Section: Radiologicalmentioning

confidence: 99%

Section: Radiologicalmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Inferior vena cava thrombosis: A review of current practice

et al. 2013

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“…12 Although the real incidence of inferior vena cava (IVC) thrombosis is unknown, the rate has increased with the introduction of permanent or retrievable IVC filters. 13,14 Only 10 to 20% of patients with deep vein thrombosis (DVT) will develop iliocaval segment thrombosis and less than 3% of the thrombosed iliac veins will progress to complete caval thrombosis.…”

Section: Iliocaval Thrombosismentioning

confidence: 99%

Venous Thromboembolic Disease: The Use of the Aspiration Thrombectomy Device AngioVac

Behrens

Bjarnason

2015

Semin intervent Radiol

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Central venous thrombosis is a complex problem, particularly in cases where the thrombus burden is large. Several interventional techniques and devices have been developed over the past 15 to 20 years to manage this entity, but the vast majority of them still need the concomitant use of thrombolytics to achieve an optimal result. AngioVac (AngioDynamics, Latham, NY) is the first aspiration thrombectomy device capable to remove a larger burden of undesired intravascular material such as thrombus, tumor, and foreign bodies without the need of lytics. This review focuses on the AngioVac device in the management of iliocaval thrombosis and pulmonary embolism.

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