Inferior Vena Cava Thrombosis

Abstract Thrombosis of the inferior vena cava (IVC) is an under-recognized entity that is associated with significant short- and long-term morbidity and mortality. In absence of a congenital anomaly, the most common cause of IVC thrombosis is the presence of an unretrieved IVC filter. Due to the sub...

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Bibliographic Details
Published in:JACC. Cardiovascular interventions 2016-04, Vol.9 (7), p.629-643
Main Authors: Alkhouli, Mohamad, MD, Morad, Mohammad, MD, Narins, Craig R., MD, Raza, Farhan, MD, Bashir, Riyaz, MBBS
Format: Article
Language:English
Subjects:
Angioplasty, Balloon - instrumentation
Anticoagulants - therapeutic use
Cardiovascular
catheter-directed thrombolysis
Combined Modality Therapy
deep venous thrombosis
Humans
inferior vena cava
pharmacomechanical catheter-directed thrombolysis
post-thrombotic syndrome
Risk Factors
Stents
Stockings, Compression
Thrombectomy
Thrombolytic Therapy
Treatment Outcome
Vascular Malformations - epidemiology
Vena Cava Filters - adverse effects
Vena Cava, Inferior - diagnostic imaging
Venous Thrombosis - diagnostic imaging
Venous Thrombosis - epidemiology
Venous Thrombosis - therapy
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Summary:Abstract Thrombosis of the inferior vena cava (IVC) is an under-recognized entity that is associated with significant short- and long-term morbidity and mortality. In absence of a congenital anomaly, the most common cause of IVC thrombosis is the presence of an unretrieved IVC filter. Due to the substantial increase in the number of IVC filters placed in the United States and the very low filter retrieval rates, clinicians are faced with a very large population of patients at risk for developing IVC thrombosis. Nevertheless, there is a paucity of data and societal guidelines with regards to the diagnosis and management of IVC thrombosis. This paper aims to enhance the awareness of this uncommon, but morbid, condition by providing a concise, yet comprehensive, review of the etiology, diagnostic approaches, and treatment strategies in patients with IVC thrombosis.
ISSN:1936-8798
1876-7605
DOI:10.1016/j.jcin.2015.12.268