Power-Pulse Thrombolysis and Stent Recanalization for Acute Post-Liver Transplant Iliocaval Venous Thrombosis

• Published in: Cardiovascular and interventional radiology Vol. 31; no. Suppl 2; pp. 166 - 170
• Main Authors: Baccin, Carlos E., Haskal, Ziv J.
• Format: Journal Article
• Language: English
• Published: New York Springer-Verlag 01-07-2008; Springer Nature B.V
• Subjects: Acute Disease; BLOOD COAGULATION FACTORS; BLOOD VESSELS; BODY; Cardiology; CARDIOVASCULAR DISEASES; CARDIOVASCULAR SYSTEM; Case Report; DIGESTIVE SYSTEM; DISEASES; DRUGS; FIBRINOLYTIC AGENTS; GLANDS; GRAFTS; HEMATOLOGIC AGENTS; Humans; Iliac Vein; Imaging; KIDNEYS; LIVER; Liver Transplantation; Magnetic Resonance Imaging; Male; Medicine; Medicine & Public Health; Middle Aged; Nuclear Medicine; ORGANIC COMPOUNDS; ORGANS; Phlebography; PLASMINOGEN; Postoperative Complications - therapy; PROTEINS; Radiology; RADIOLOGY AND NUCLEAR MEDICINE; Stents; Thrombolytic Therapy - methods; THROMBOSIS; TRANSPLANTS; Ultrasound; VASCULAR DISEASES; VEINS; Vena Cava, Inferior; Venous Thrombosis - diagnosis; Venous Thrombosis - etiology; Venous Thrombosis - therapy; Occlusion; Endovascular treatment; Liver transplant; Power-pulse spray; Thrombosis; Stent; Inferior vena cava; Thrombolytic therapy
• ISSN: 0174-1551; 1432-086X
• DOI: 10.1007/s00270-007-9261-9

Postoperative inferior vena cava (IVC) thrombosis is a potentially lethal complication in a liver transplant recipient. We report the case of a 57-year-old liver transplant recipient, who developed acute, postoperative, markedly symptomatic complete IVC, ilial-femoral-caval, and left renal vein thrombosis. After treatment with power-pulse tissue plasminogen activator thrombolysis, thrombectomy, and stent placement, the IVC and iliac veins were successfully recanalized. At 2.5-year imaging and laboratory follow-up, the IVC, iliac, and renal veins remained patent and graft function was preserved.