Percutaneous stent placement as treatment of renal vein obstruction due to inferior vena caval thrombosis

A patient who had undergone his third orthotopic liver transplantation nearly 9 years prior to presentation developed worsening hepatic and renal function, as well as severe bilateral lower extremity edema. Magnetic resonance imaging demonstrated vena caval thrombosis from the suprahepatic venous an...

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Bibliographic Details
Published in:Cardiovascular and interventional radiology 2006-02, Vol.29 (1), p.147-150
Main Authors: Stecker, Michael S, Casciani, Thomas, Kwo, Paul Y, Lalka, Stephen G
Format: Article
Language:English
Subjects:
Adult
Constriction, Pathologic - therapy
EDEMA
Humans
KIDNEYS
LIVER
Liver Transplantation - adverse effects
Magnetic Resonance Imaging
Male
NMR IMAGING
PATIENTS
RADIOLOGY AND NUCLEAR MEDICINE
Renal Veins - pathology
Stents
THROMBOSIS
Transplants & implants
VEINS
Veins & arteries
Vena Cava, Inferior - pathology
Venous Thrombosis - complications
Venous Thrombosis - therapy
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Summary:A patient who had undergone his third orthotopic liver transplantation nearly 9 years prior to presentation developed worsening hepatic and renal function, as well as severe bilateral lower extremity edema. Magnetic resonance imaging demonstrated vena caval thrombosis from the suprahepatic venous anastomosis to the infrarenal inferior vena cava, obstructing the renal veins. This was treated by percutaneous placement of metallic stents from the renal veins to the right atrium. At 16 months clinical follow-up, the patient continues to do well.
ISSN:0174-1551
1432-086X
DOI:10.1007/s00270-004-0198-y