Power-pulse thrombolysis and stent recanalization for acute post-liver transplant iliocaval venous thrombosis.
Postoperative inferior vena cava (IVC) thrombosis is a potentially lethal complication in a liver transplant recipient. We report the case of a 57-year-old liver transplant recipient, who developed acute, postoperative, markedly symptomatic complete IVC, ilial-femoral-caval, and left renal vein thrombosis. After treatment with power-pulse tissue plasminogen activator thrombolysis, thrombectomy, and stent placement, the IVC and iliac veins were successfully recanalized. At 2.5-year imaging and laboratory follow-up, the IVC, iliac, and renal veins remained patent and graft function was preserved.
Baccin
Carlos E
CE
New York Presbyterian Hospital/Columbia University Medical Center, New York, NY 10032, USA.
Haskal
Ziv J
ZJ
D000208:Acute Disease; D006801:Humans; D007084:Iliac Vein; D016031:Liver Transplantation; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010690:Phlebography; D011183:Postoperative Complications / Q000628:therapy*; D015607:Stents; D015912:Thrombolytic Therapy / Q000379:methods*; D014682:Vena Cava, Inferior; D020246:Venous Thrombosis / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*