Venography of the Inferior Vena Cava and Its Branches

Chermet, J; Bigot, Jean-Michel

doi:10.1007/978-3-642-67579-9

Cited by 8 publications

(4 citation statements)

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“…The detailed embryogenesis of the lye and the closely related venous system is complex and not yet fully understood (3,4). A schematic drawing of the normal lye with its segments and major contributing embryologic veins is presented in Fig.…”

Section: Discussionmentioning

confidence: 99%

Postrenal Segment Aneurysm and Infrahepatic Interruption of the Inferior Vena Cava

Stiris¹,

Finnanger²

1987

Acta Radiol

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Intrahepatic interruption of the inferior vena cava (IVC) with azygos and hemiazygos continuation is a well known anomaly. An aneurysm of the IVC has to our knowledge never been reported. A patient is described in whom a postrenal segmental aneurysm of the IVC in association with infrahepatic interruption was evaluated by cavography, ultrasound, and computed tomography. The different modes of evaluation are discussed with emphasis on the embryogenesis of the Iv'C.

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Section: Discussionmentioning

confidence: 99%

Postrenal Segment Aneurysm and Infrahepatic Interruption of the Inferior Vena Cava

Stiris¹,

Finnanger²

1987

Acta Radiol

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“…Their research revealed that on 127 autopsied newborns and children, only 4.7% had endovenous anomalies, compared to 33% of autopsied adults. 3 It was not until 1957 that May and Thurner developed a comprehensive understanding of the anatomic variants of MTS. They discovered that 22% of 430 cadavers exhibited lesions described as “spurs” in the LCIV and were predicated to arise from the chronic compression of the LCIV by the RCIA.…”

Section: Discussionmentioning

confidence: 99%

Sonography’s Role in the Diagnosis of May–Thurner Syndrome

Barry

2017

Journal of Diagnostic Medical Sonography

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May-Thurner syndrome (MTS) is a rarely diagnosed condition that occurs when the right common iliac artery (RCIA) compresses the left common iliac vein against the lumbar spine (Figure 1). This narrowing of the left common iliac vein (LCIV) can cause severe complications in the left lower extremity (LLE), such as swelling, pain, venous reflux disease, and deep vein thrombosis (DVT). Although it was first described in 1851, there are currently no standardized criteria in diagnosing MTS. Not only is sonography a useful tool in the discovery of DVT, but it also has an ongoing role in patients with venous ulcerations and chronic edema, which can cause lifestyle limitations in patients with postphlebitis syndrome. Case Study A woman late in her fourth decade presented to her vascular physician complaining of LLE varicose veins, achiness, fatigue, and swelling. Three years earlier, she was diagnosed with LLE DVT in an emergency department and was treated with an inferior vena cava (IVC) filter. This was reportedly because she was not a candidate for anticoagulation due to a history of a ruptured stomach ulcer. It is unfortunate that the patient did not follow up with her vascular physician after her initial DVT diagnosis until the LLE symptoms became severe. She did not have any indication of coagulation abnormalities. A bilateral lower extremity venous reflux sonogram and IVC sonogram were ordered. A linear transducer with a center frequency of 9 MHz was used on a Philips iU22 system (Philips Healthcare, Andover, MA) to perform the 714796J DMXXX10.

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“…Ultrasound may be a useful screening test, but is inferior to CT scanning. Vena cavography is subject to artifacts, and requires careful attention to detail [9]. Vena cavography may demonstrate the proximal extent of tumor thrombus and the size of venous collateral channels at the level of the obstruction, thus providing a guide to the need for femoral vein, as well as superior vena caval, cannulation during cardiopulmonary bypass.…”

Section: Discussionmentioning

confidence: 99%

Intra‐atrial extension of renal and adrenal tumors: Diagnosis, management, and prognosis

1986

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Intra‐atrial tumor thrombus arising from a renal or adrenal tumor is a serious development. Preoperative recognition by computed tomographic scanning and cavography is important, and these investigations should be considered even in patients without symptoms of venous obstruction, especially if the tumor is right‐sided and greater than 7 cm in diameter. We report here our experience with the management of 3 patients with intra‐atrial tumor thrombus (2 adrenal, 1 renal). A combined midline and median sternotomy approach is preferred and cardiopulmonary bypass is essential. Moderate hypothermia and liver inflow occlusion may also be necessary. This technique provides effective vascular control for resection of the tumor and its intravascular extension, and is simpler than profound hypothermia, total body exsanguination, and complete circulatory arrest. Perioperative endoscopic examination of the interior of the inferior vena cava and hepatic veins, under bloodless conditions, helps to ensure that there has been complete removal of the thrombus. A review of 28 reported patients who have had removal of intra‐atrial thrombus suggests that long‐term survival is rare, but the possibility of symptom relief makes this procedure worthwhile.

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Venography of the Inferior Vena Cava and Its Branches

Cited by 8 publications

References 0 publications

Postrenal Segment Aneurysm and Infrahepatic Interruption of the Inferior Vena Cava

Postrenal Segment Aneurysm and Infrahepatic Interruption of the Inferior Vena Cava

Sonography’s Role in the Diagnosis of May–Thurner Syndrome

Intra‐atrial extension of renal and adrenal tumors: Diagnosis, management, and prognosis

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