Successful catheter directed thrombolysis of IVC and renal vein occlusive thrombus

E McCarthy; N O Mahony; M Guiney; J M Ryan

Successful catheter directed thrombolysis of IVC and renal vein occlusive thrombus

Ir Med J. 2011 Nov-Dec;104(10):311-2.

Authors

E McCarthy¹, N O Mahony, M Guiney, J M Ryan

Affiliation

¹ Department of Radiology, St James's Hospital, Dublin 8. [email protected]

PMID: 22256445

Abstract

Thrombus formation is a recognised complication of IVC filter placement, however IVC and bilateral renal vein occlusion secondary to thrombus is much less common. We present a case of infrahepatic caval and bilateral renal vein occlusion secondary to thrombosis of a suprarenal IVC filter. With progressive clinical deterioration and failure of conservative medical management the patient underwent successful mechanical disruption and catheter directed thrombolysis.

Publication types

Case Reports

MeSH terms

Acute Kidney Injury / etiology*
Acute Kidney Injury / physiopathology
Catheterization, Peripheral / methods*
Female
Fibrinolytic Agents / administration & dosage
Humans
Middle Aged
Phlebography
Renal Veins* / diagnostic imaging
Renal Veins* / physiopathology
Thrombolytic Therapy / methods*
Time
Tissue Plasminogen Activator / administration & dosage
Treatment Outcome
Vena Cava Filters / adverse effects*
Vena Cava, Inferior* / diagnostic imaging
Vena Cava, Inferior* / physiopathology
Venous Thrombosis / diagnostic imaging
Venous Thrombosis / etiology
Venous Thrombosis / physiopathology
Venous Thrombosis / therapy*

Substances

Fibrinolytic Agents
Tissue Plasminogen Activator