McCarthy E, Mahony N O, Guiney M, Ryan J M
Department of Radiology, St James's Hospital, Dublin 8.
Ir Med J. 2011 Nov-Dec;104(10):311-2.
Thrombus formation is a recognised complication of IVC filter placement, however IVC and bilateral renal vein occlusion secondary to thrombus is much less common. We present a case of infrahepatic caval and bilateral renal vein occlusion secondary to thrombosis of a suprarenal IVC filter. With progressive clinical deterioration and failure of conservative medical management the patient underwent successful mechanical disruption and catheter directed thrombolysis.
血栓形成是下腔静脉滤器置入术公认的并发症,然而,继发于血栓的下腔静脉及双侧肾静脉闭塞则较为少见。我们报告一例因肾上极下腔静脉滤器血栓形成继发肝下腔静脉及双侧肾静脉闭塞的病例。随着临床症状逐渐恶化且保守治疗无效,该患者成功接受了机械碎栓及导管定向溶栓治疗。