Post-transplant IVC occlusion and thrombosis treated with tPA, heparin, and sharp recanalization.
Complete inferior vena cava (IVC) thrombosis can be a lethal complication in a liver transplant recipient. The case of a 52-year-old liver transplant recipient, who developed complete IVC as well as left iliofemoral thrombosis, is reported. After treatment with combined tissue plasminogen activator (tPA) and heparin, the IVC was successfully recanalized with sharp dissection, balloon dilatation, and stent placement.
Mindikoglu
Ayse L
AL
Division of Gastroenterology, Hepatology and Nutrition, Department of Medicine, Loyola University Medical Center, Chicago Stritch School of Medicine, Maywood, IL, USA.
Miller
Jonathan S
JS
Borge
Marc A
MA
Van Thiel
David H
DH
D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D002404:Catheterization / Q000379:methods; D004210:Dissection / Q000379:methods; D004359:Drug Therapy, Combination; D005268:Femoral Vein / Q000000981:diagnostic imaging; D005343:Fibrinolytic Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D005500:Follow-Up Studies; D006493:Heparin / Q000008:administration & dosage / Q000627:therapeutic use*; D006509:Hepatitis B / Q000601:surgery; D006801:Humans; D007084:Iliac Vein / Q000000981:diagnostic imaging; D007262:Infusions, Intravenous; D016031:Liver Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D010690:Phlebography; D015607:Stents; D010959:Tissue Plasminogen Activator / Q000008:administration & dosage / Q000627:therapeutic use*; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging / Q000601:surgery; D020246:Venous Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*
D005343:Fibrinolytic Agents; D006493:Heparin; D010959:Tissue Plasminogen Activator