A Literature Review and Case Series of DVT Patients with Absent IVC Treated with Thrombolysis.
Ann Vasc Surg
; 67: 521-531, 2020 Aug.
Article
en En
| MEDLINE
| ID: mdl-32234401
ABSTRACT
BACKGROUND:
Congenital absence of the inferior vena cava is related to deep venous thrombosis (DVT) in 5% of cases with no other risk factors. DVT is normally diagnosed by Duplex, whereas computerized tomography or magnetic resonance imaging is required to visualize this absence, and so, it is often missed but ought to be considered in young patients. There are many existing cases in the literature illustrating this link, but these patients were often managed conservatively with anticoagulation. CASE SERIES We report five cases presenting with a DVT who were found to have an absent inferior vena cava after imaging and were treated successfully with thrombolysis and consequently managed with lifelong anticoagulation, between January 2014 and January 2019.CONCLUSIONS:
Anomalies of the inferior vena cava can cause unprovoked DVT. These anomalies are often incidental findings after CT but could change the management plan in these patients. Treatment can be with anticoagulants only, thrombolysis, thrombectomy, balloon angioplasty or stents, and long-term or lifelong anticoagulation to prevent DVT recurrence.
Texto completo:
1
Colección:
01-internacional
Asunto principal:
Vena Cava Inferior
/
Terapia Trombolítica
/
Trombosis de la Vena
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Malformaciones Vasculares
/
Fibrinolíticos
Tipo de estudio:
Etiology_studies
/
Risk_factors_studies
Límite:
Adult
/
Humans
/
Male
Idioma:
En
Revista:
Ann Vasc Surg
Asunto de la revista:
ANGIOLOGIA
Año:
2020
Tipo del documento:
Article