title: Endovascular treatment of obliterative hepatocavopathy with inferior vena cava occlusion and renal vein thrombosis.
abstract: We describe the endovascular treatment of an occlusion of the inferior vena cava (IVC) due to obliterative hepatocavopathy with renal and iliac vein thrombosis. A 34-year-old man with nephrotic syndrome and hepatic dysfunction presented to the hospital after a 3-month history of lower extremity swelling with an acute deterioration in his condition. Magnetic resonance venography diagnosed a massive IVC occlusion with thrombosis of the entire IVC, iliac veins, and renal vein. He was treated with thrombolysis, and a chronic occlusion of the infrahepatic IVC was discovered. After venous stenting of the IVC and iliac veins, he dramatically improved. After 24 months, he remains symptom-free with a patent IVC and iliac veins.
authors.affiliation: Vascular Surgery, Vascular Specialists of Central Florida, Orlando, FL 32806, USA. cthompson@arteryandvein.com
authors.forename: Charles S
authors.initials: CS
authors.lastname: Thompson
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Cohen
authors.forename: Jon M
authors.initials: JM
authors.lastname: Wesley
mesh_terms: D000328:Adult; D015901:Angiography, Digital Subtraction; D000800:Angioplasty, Balloon; D006502:Budd-Chiari Syndrome / Q000150:complications*; D003251:Constriction, Pathologic; D006801:Humans; D007084:Iliac Vein / Q000000981:diagnostic imaging; D008279:Magnetic Resonance Imaging; D008297:Male; D009404:Nephrotic Syndrome / Q000150:complications; D012082:Renal Veins; D015607:Stents; D018084:Ultrasonography, Interventional; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging / Q000473:pathology; D020246:Venous Thrombosis / Q000209:etiology / Q000628:therapy*