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

doi:10.1016/j.jvscit.2019.04.004

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

Research output: Contribution to journal › Article › peer-review

4 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 language	English (US)
Pages (from-to)	438-442
Number of pages	5
Journal	Journal of Vascular Surgery Cases and Innovative Techniques
Volume	5
Issue number	4
DOIs	https://doi.org/10.1016/j.jvscit.2019.04.004
State	Published - Dec 2019
Externally published	Yes

Keywords

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

ASJC Scopus subject areas

Surgery
Cardiology and Cardiovascular Medicine

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10.1016/j.jvscit.2019.04.004

Cite this

Heafner, T., Nissen, A. P., Schechtman, D., Alderete, J. F., Arthurs, Z. M., & Propper, B. W. (2019). Venovenous bypass using continuous renal replacement therapy and endovascular inferior vena cava reconstruction to treat bilateral massive iliocaval deep venous thrombosis. Journal of Vascular Surgery Cases and Innovative Techniques, 5(4), 438-442. https://doi.org/10.1016/j.jvscit.2019.04.004

Venovenous bypass using continuous renal replacement therapy and endovascular inferior vena cava reconstruction to treat bilateral massive iliocaval deep venous thrombosis. / Heafner, Thomas; Nissen, Alexander P.; Schechtman, David et al.
In: Journal of Vascular Surgery Cases and Innovative Techniques, Vol. 5, No. 4, 12.2019, p. 438-442.

Research output: Contribution to journal › Article › peer-review

Heafner, T, Nissen, AP, Schechtman, D, Alderete, JF, Arthurs, ZM & Propper, BW 2019, 'Venovenous bypass using continuous renal replacement therapy and endovascular inferior vena cava reconstruction to treat bilateral massive iliocaval deep venous thrombosis', Journal of Vascular Surgery Cases and Innovative Techniques, vol. 5, no. 4, pp. 438-442. https://doi.org/10.1016/j.jvscit.2019.04.004

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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.",

keywords = "Continuous renal replacement therapy, Deep venous thrombosis, Iliocaval reconstruction, Iliocaval thrombosis, Inferior vena cava atresia, Venovenous bypass",

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AU - Alderete, Joseph F.

AU - Arthurs, Zachary M.

AU - Propper, Brandon W.

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AB - 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.

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

Abstract

Keywords

ASJC Scopus subject areas

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