Iliofemoral deep venous thrombosis in kidney transplant patients can cause graft dysfunction Ali Khalifeh, MD, Michaella Reif, BS, Besher Tolayamat,

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Presentation transcript:

Iliofemoral deep venous thrombosis in kidney transplant patients can cause graft dysfunction Ali Khalifeh, MD, Michaella Reif, BS, Besher Tolayamat, BS, Janet Karanja, BS, Rajabrata Sarkar, MD, PhD, Shahab Toursavadkohi, MD Journal of Vascular Surgery Cases and Innovative Techniques Volume 5, Issue 1, Pages 7-11 (March 2019) DOI: 10.1016/j.jvscit.2018.08.012 Copyright © 2018 The Authors Terms and Conditions

Fig 1 A, Magnetic resonance venogram demonstrating external iliac vein (EIV) thrombus (red arrow) extending below renal allograft venous anastomosis at the common femoral vein (blue arrow). B, Initial venogram demonstrating patent renal allograft vein patency with thrombus distally. C, Post-thrombolysis venogram demonstrating restoration of patency. Journal of Vascular Surgery Cases and Innovative Techniques 2019 5, 7-11DOI: (10.1016/j.jvscit.2018.08.012) Copyright © 2018 The Authors Terms and Conditions

Fig 2 A, Initial cavogram demonstrates thrombus from distal inferior vena cava (IVC) to right iliofemoral veins. B, After thrombolysis, persistent IVC stenosis near IVC filter (blue arrow). C, After IVC filter retrieval and angioplasty, cavogram demonstrates adequate flow despite residual stenosis (red arrow). Journal of Vascular Surgery Cases and Innovative Techniques 2019 5, 7-11DOI: (10.1016/j.jvscit.2018.08.012) Copyright © 2018 The Authors Terms and Conditions

Fig 3 A, Ultrasound demonstrates an acute deep venous thrombosis (DVT) in left common femoral vein (LT CFV) with noncompressibility. C, Compression; GSV, great saphenous vein; NC, no compression. B, Initial venogram demonstrates resolution of thrombus. C, Persistent left iliac vein stenosis despite thrombus resolution, confirming May-Thurner syndrome. D, Improved outflow after iliac vein angioplasty and stenting. Journal of Vascular Surgery Cases and Innovative Techniques 2019 5, 7-11DOI: (10.1016/j.jvscit.2018.08.012) Copyright © 2018 The Authors Terms and Conditions

Fig 4 A, Ultrasound demonstrates left common femoral vein (LT CFV) thrombus. C, Compression; NC, no compression. B, Left external iliac vein (EIV) patent with adequate flow. C, Renal allograft venous anastomosis patent with adequate flow. Journal of Vascular Surgery Cases and Innovative Techniques 2019 5, 7-11DOI: (10.1016/j.jvscit.2018.08.012) Copyright © 2018 The Authors Terms and Conditions