Interventional Management of the Inferior Vena Cava Syndrome

Overview

Interventional procedures are becoming increasingly popular in the treatment of impaired patency of deep venoussystem caused most often by extensive phlebothrombosis. Restoration of patency to affected venous segments whilepreserving the valvular function with a high degree of success in a relatively short period of time can be achievedby combination of endovascular methods such as catheter guided thrombolysis followed by percutanenous transluminalangioplasty and stenting. This approach enables not only the resolution of acute vascular complications butalso the prevention of postthrombotic syndrome. This case report of a 52-year-old man with retroperitoneal fibrosiscausing chronic compression of vena cava inferior further complicated by travelling associated bilateral ileofemoralthrombosis clearly demonstrates the wide ranging applications of the endovascular techniques.

Key words:
deep venous thrombosis, vena cava inferior syndrome, endovascular techniques.