Venovenous bypass using continuous renal replacement therapy and endovascular inferior vena cava reconstruction to treat bilateral massive iliocaval deep venous thrombosis

Thomas Heafner, Alexander P. Nissen, David Schechtman, Joseph F. Alderete, Zachary M. Arthurs, Brandon W. Propper*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

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.

Original languageEnglish
Pages (from-to)438-442
Number of pages5
JournalJournal of Vascular Surgery Cases and Innovative Techniques
Volume5
Issue number4
DOIs
StatePublished - Dec 2019
Externally publishedYes

Keywords

  • Continuous renal replacement therapy
  • Deep venous thrombosis
  • Iliocaval reconstruction
  • Iliocaval thrombosis
  • Inferior vena cava atresia
  • Venovenous bypass

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