The complications due to inferior vena cava abnormality and their interventional management
10.3969/j.issn.1008-794X.2015.07.015
- VernacularTitle:下腔静脉畸形并发症及其介入诊疗
- Author:
Qiusong LIU
;
Quelin MEI
;
Yanhao LI
- Publication Type:Journal Article
- Keywords:
inferior vena cava;
abnormality;
complication;
interventional therapy
- From:
Journal of Interventional Radiology
2015;(7):621-624
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the clinical complications caused by inferior vena cava abnormality and their interventional management. Methods The clinical data and interventional therapeutic results of 4 patients with complications due to abnormalities of the inferior vena cava were retrospectively analyzed. Results Duplicate inferior vena cava deformity was confirmed in two cases; one of them was complicated by right inferior vena cava with deep venous thrombosis of right lower extremity;and the other case had bilateral inferior vena cava thrombosis secondary to tumor thrombus within the intrahepatic segment of inferior vena cava, for which interventional treatment was not employed. Left-sided inferior vena cava was observed in 2 cases; clinically, one showed microscopic haematuria and lower back pain, and interventional treatment was not adopted; the other case had abdominal pain, and the symptom showed no obvious improvement after receiving stent implantation in the crossing segment of the left-sided inferior vena cava. Conclusion Clinically, the complications caused by abnormalities of inferior vena cava are rare. The diagnosis and the treatment of its complications should be based on the imaging manifestations, the related clinical symptoms, blood flow dynamics, etc. and the misdiagnosis and mistreatment should be avoided.
