Volume 20 Issue 5
May  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(5): 749-751
WANG Chen-meng, YU Chao-wen, NIE Zhong-lin, LU Ran, GUAN Ze-yu, WANG Xiao-gao. Clinical diagnosis and treatment of inferior vena cava variant complicated with lower extremity deep vein thrombosis[J]. Chinese Journal of General Practice, 2022, 20(5): 749-751. doi: 10.16766/j.cnki.issn.1674-4152.002445
Citation: WANG Chen-meng, YU Chao-wen, NIE Zhong-lin, LU Ran, GUAN Ze-yu, WANG Xiao-gao. Clinical diagnosis and treatment of inferior vena cava variant complicated with lower extremity deep vein thrombosis[J]. Chinese Journal of General Practice, 2022, 20(5): 749-751. doi: 10.16766/j.cnki.issn.1674-4152.002445
shu

Clinical diagnosis and treatment of inferior vena cava variant complicated with lower extremity deep vein thrombosis

doi: 10.16766/j.cnki.issn.1674-4152.002445

  • Department of Vascular Surgery, the First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui 233004, China

Funds:

 KJ2019A0327

  • Received Date: 2021-12-02
    Available Online: 2022-09-05
    Abstract
  •   Objective  To investigate the clinical diagnosis and treatment of congenital inferior vena cava malformation (IVCM) complicated with deep vein thrombosis (DVT).  Methods  The clinical data of 16 patients with inferior vena cava variation treated in Department of Vascular Surgery, the First Affiliated Hospital of Bengbu Medical College from August 2011 to July 2021 were analysed retrospectively.  Results  Amongst the 12 cases of double inferior vena cava (DIVC), 9 cases were complicated with lower extremity DVT (5 cases with left lower extremity DVT underwent inferior vena cava filter implantation plus catheter thrombolysis; 3 cases complicated with right lower extremity DVT underwent right IVC filter implantation; and 1 case complicated with both lower extremity DVT was inserted with 1 filter in the left and right IVC, respectively), and 3 cases complicated with unexplained lower extremity swelling were treated with detumescence. Four cases were diagnosed with DVT in the left inferior vena cava. Amongst them, 2 cases found by left lower extremity deep venography due to lower extremity swelling were given detumescence treatment; 2 cases found by left femoral vein puncture during right lower extremity DVT were implanted with an inferior vena cava filter, of which 1 case was treated by catheter thrombolysis at the same time. There were 1 case of permanent filter and 10 cases of recyclable filter. All patients with DVT were given anticoagulant therapy after operation.  Conclusion  IVCM is an important risk factor of venous thromboembolism, and the placement of inferior vena cava filter in an appropriate position has important clinical significance.

     

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