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  • Title: Endovascular treatment of obliterative hepatocavopathy with inferior vena cava occlusion and renal vein thrombosis.
    Author: Thompson CS, Cohen MJ, Wesley JM.
    Journal: J Vasc Surg; 2006 Jul; 44(1):206-9. PubMed ID: 16828448.
    Abstract:
    We describe the endovascular treatment of an occlusion of the inferior vena cava (IVC) due to obliterative hepatocavopathy with renal and iliac vein thrombosis. A 34-year-old man with nephrotic syndrome and hepatic dysfunction presented to the hospital after a 3-month history of lower extremity swelling with an acute deterioration in his condition. Magnetic resonance venography diagnosed a massive IVC occlusion with thrombosis of the entire IVC, iliac veins, and renal vein. He was treated with thrombolysis, and a chronic occlusion of the infrahepatic IVC was discovered. After venous stenting of the IVC and iliac veins, he dramatically improved. After 24 months, he remains symptom-free with a patent IVC and iliac veins.
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