Warfarin anticoagulation before angioplasty relieves thrombus burden in Budd-Chiari syndrome caused by inferior vena cava anatomic obstruction Tianxiao.

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Warfarin anticoagulation before angioplasty relieves thrombus burden in Budd-Chiari syndrome caused by inferior vena cava anatomic obstruction Tianxiao Li, MD, PhD, Wayne W. Zhang, MD, Weixing Bai, MD, Shuiting Zhai, MD, Zhigang Pang, MD Journal of Vascular Surgery Volume 52, Issue 5, Pages 1242-1245 (November 2010) DOI: 10.1016/j.jvs.2010.05.098 Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 1 A, Diagnostic cavogram revealed inferior vena cava (IVC) occlusion with large thrombus (arrows). B, Follow-up cavogram after 3-month warfarin pre-treatment demonstrated near-complete resolution of IVC thrombosis. C, Percutaneous transluminal balloon angioplasty (PTBA) was performed for this membranous obstructive lesion. D, IVC was widely patent following PTBA. Journal of Vascular Surgery 2010 52, 1242-1245DOI: (10.1016/j.jvs.2010.05.098) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 2 A, Diagnostic cavogram revealed inferior vena cava (IVC) occlusion with a large IVC thrombus (arrow). B, Follow-up cavogram after 6-month pre-treatment with warfarin demonstrated the thrombus was completely resolved. C, Percutaneous transluminal balloon angioplasty was performed for this segmental occlusive lesion. D, Completion cavogram showed the IVC was widely patent and IVC stenting was not needed. Journal of Vascular Surgery 2010 52, 1242-1245DOI: (10.1016/j.jvs.2010.05.098) Copyright © 2010 Society for Vascular Surgery Terms and Conditions