Agitation thrombolysis for fresh iatrogenic IVC thrombosis in patients with Budd-Chiari syndrome Peng-Xu Ding, MD, Yong-Dong Li, MD, PhD, Xin-Wei Han,

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Agitation thrombolysis for fresh iatrogenic IVC thrombosis in patients with Budd-Chiari syndrome Peng-Xu Ding, MD, Yong-Dong Li, MD, PhD, Xin-Wei Han, MD, PhD, Gang Wu, MD Journal of Vascular Surgery Volume 52, Issue 3, Pages 782-784 (September 2010) DOI: 10.1016/j.jvs.2010.02.016 Copyright © 2010 Terms and Conditions

Fig 1 Visualization of the inferior vena cava (IVC) of a 47-year-old man with a 10-year history of Budd-Chiari syndrome (BCS). (a) Baseline IV cavagram reveals membranous obstruction with no thrombus. (b) IV cavagram exhibits a triangle fresh thrombosis at the top of the obstructed IVC (arrowhead). (c) Anteroposterior fluoroscopy image shows the helical configuration of the guide wire in the IVC (arrowhead) after rupture of the membranous obstruction during the procedure. (d) IV cavagram performed immediately after agitation thrombolysis and balloon dilation demonstrates complete dissolution of the thrombus with full IVC patency. (e) Two-dimensional, longitudinal color Doppler sonogram confirms IVC patency without rethrombosis at 1-year postprocedure. Journal of Vascular Surgery 2010 52, 782-784DOI: (10.1016/j.jvs.2010.02.016) Copyright © 2010 Terms and Conditions