Treatment strategies for inferior vena cava aneurysms

Wang, Mian; Wang, Hui; Liao, Bingye; Peng, Guiyan; Chang, Guangqi

doi:10.1016/j.jvsv.2021.03.017

Cited by 3 publications

(2 citation statements)

References 53 publications

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“…[19,20] A retrievable IVC filter plays a crucial role, as it prevents PE and is recommended for the therapy of the iliofemoral DVT via Reya system in patients who have scheduled for interventional treatment. [21] Nonetheless, the patients who have contraindication to replace a IVC filter such as aneurysm of IVC, which reported rarely in the literature, [22][23][24][25] cannot be treated via a combined PMT and CDT therapy. In our series, a huge aneurysm of IVC was observed and the combined therapy failed due to an abortive IVC filter insertion (Figure 3).…”

Section: Discussionmentioning

confidence: 99%

Combined pharmacomechanical thrombectomy with selective catheter-directed thrombolysis in patients with acute proximal deep vein thrombosis

Aldağ¹,

Ciloglu²

2022

Turk Gogus Kalp Dama

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Background: The aim of this study was to evaluate the characteristics and the outcomes of combined percutaneous pharmacomechanical thrombectomy with selective catheter-directed thrombolysis for acute iliofemoral deep vein thrombosis. Methods: Between March 2018 and February 2020, a total of 37 patients (21 males, 16 females; mean age: 55±13.8 years; range, 21 to 79 years) with symptomatic acute iliofemoral vein thrombosis who underwent combined percutaneous pharmacomechanical thrombectomy and catheter-directed thrombolysis were retrospectively analyzed. All patients received a three-step therapy: (i) insertion of a temporary inferior vena cava filter, (ii) percutaneous pharmacomechanical thrombectomy via rotational mechanical thrombectomy device with an adjuvant 0.15 mg/kg recombinant tissue-type plasminogen activator alteplase, and (iii) catheter-directed thrombolysis with continuous 1 mg/h tissue-type plasminogen activator alteplase. Data including demographic characteristics of the patients, bleeding complications, technical success, and adjuvant angioplasty rates were analyzed. The Kaplan-Meier analysis was used to evaluate freedom from re-thrombosis at 3, 6, and 12 months of follow-up was calculated. Results: The majority of the patients had left-sided (n=22, 59.4%) proximal deep vein thrombosis. Successful insertion of the inferior vena cava filter was achieved in 97.2% (n=36) of patients. The technical success rate was 89.1% (n=33). Adjuvant venous angioplasty was performed in four patients (10.8%) and no venous stents were used. No major bleeding was occurred, while minor bleeding was observed mostly in the form of hematuria (n=12, 32.4%). No mortality was observed. The 3, 6, and 12-month freedom from re-thrombosis rates were 96.3%, 92.6%, and 86.0%, respectively. Conclusion: Combined percutaneous pharmacomechanical thrombectomy and catheter-directed thrombolysis seems to be an effective and safe treatment of the iliofemoral acute deep vein thrombosis with acceptable minor bleeding complications post-interventionally.

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Section: Discussionmentioning

confidence: 99%

Combined pharmacomechanical thrombectomy with selective catheter-directed thrombolysis in patients with acute proximal deep vein thrombosis

Aldağ¹,

Ciloglu²

2022

Turk Gogus Kalp Dama

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“…Venous aneurysms are uncommon. In particular, inferior vena cava (IVC) aneurysms are rare, with approximately 70 reported cases [1,2]. Most IVC aneurysms are incidentally identified among asymptomatic or mildly symptomatic patients, the most common symptoms are abdominal pain and symptoms related to deep vein thrombosis [3].…”

Section: Introductionmentioning

confidence: 99%

A Unique Case of Inferior Vena Cava Aneurysm Complicated with Pulmonary Embolism and Cerebral Infarction

Chang¹,

Bae²,

Chung³

2021

JCDD

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Inferior vena cava (IVC) aneurysms rarely occur. They are commonly detected incidentally since they present with mild or no symptoms. This was the first study to report a fatal case of a saccular IVC aneurysm with pulmonary embolism and cerebral infarction. The patient developed cardiac arrest five minutes after arriving at the emergency department, and spontaneous circulation was restored after two minutes of cardiopulmonary resuscitation. Computed tomography scans of the brain, chest, and abdomen–pelvis were obtained. The patient was diagnosed with a saccular aneurysm of the IVC measuring 8 × 11 cm, massive embolism of both pulmonary arteries, and cerebral infarction. An electroencephalogram, taken on the third day of hospitalization, suggested brain death, and the patient died on the eleventh day of hospitalization. This case report highlights that an IVC aneurysm with pulmonary embolism can be associated with paradoxical emboli-induced cerebral infarction, which is fatal.

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Inferior vena cava aneurysm revealed by fatal bilateral phlegmasia cerulea dolens

Bouarhroum

Naouli

Jiber

2023

Annals of Vascular Surgery - Brief Reports and Innovations

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Treatment strategies for inferior vena cava aneurysms

Cited by 3 publications

References 53 publications

Combined pharmacomechanical thrombectomy with selective catheter-directed thrombolysis in patients with acute proximal deep vein thrombosis

Combined pharmacomechanical thrombectomy with selective catheter-directed thrombolysis in patients with acute proximal deep vein thrombosis

A Unique Case of Inferior Vena Cava Aneurysm Complicated with Pulmonary Embolism and Cerebral Infarction

Inferior vena cava aneurysm revealed by fatal bilateral phlegmasia cerulea dolens

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