Skip to main content

Percutaneous Stent Placement as Treatment of Renal Vein Obstruction Due to Inferior Vena Caval Thrombosis

Abstract

A patient who had undergone his third orthotopic liver transplantation nearly 9 years prior to presentation developed worsening hepatic and renal function, as well as severe bilateral lower extremity edema. Magnetic resonance imaging demonstrated vena caval thrombosis from the suprahepatic venous anastomosis to the infrarenal inferior vena cava, obstructing the renal veins. This was treated by percutaneous placement of metallic stents from the renal veins to the right atrium. At 16 months clinical follow-up, the patient continues to do well.

This is a preview of subscription content, access via your institution.

Figure 1
Figure 2
Figure 3
Figure 4
Figure 5

References

  1. The Organ Procurement and Transplantation Network/Scientific Registry of Transplant Recipients Annual Report 2003, chapter VII: Liver and intestine transplantation, http://www.optn.org/AR2003/Chapter_ VII_AR_CD.htm?cp=8 (accessed February 26, 2004)

  2. SM Weeks DA Gerber PF Jaques et al. (2000) ArticleTitlePrimary Gianturco stent placement for inferior vena cava abnormalities following liver transplantation J Vasc Interv Radiol 11 177–187 Occurrence Handle1:STN:280:DC%2BD3c7nvFWgsw%3D%3D Occurrence Handle10716387

    CAS  PubMed  Google Scholar 

  3. N Segawa H Azuma Y Iwamoto et al. (1999) ArticleTitleExpandable metallic stent placement for nutcracker phenomenon Urology 53 631–633 Occurrence Handle10.1016/S0090-4295(98)00355-0 Occurrence Handle1:STN:280:DyaK1M7psVSlsQ%3D%3D Occurrence Handle10096399

    Article  CAS  PubMed  Google Scholar 

  4. YB Park SH Lim JH Ahn et al. (2000) ArticleTitleNutcracker syndrome: Intravascular stenting approach Nephrol Dial Transplant 15 99–101 Occurrence Handle1:STN:280:DC%2BD3c%2Fns1Khtw%3D%3D Occurrence Handle10607775

    CAS  PubMed  Google Scholar 

  5. R Chiesa A Anzuini EM Marone et al. (2001) ArticleTitleEndovascular stenting for the nutcracker phenomenon J Endovasc Ther 8 652–655 Occurrence Handle10.1583/1545-1550(2001)008<0652:ESFTNP>2.0.CO;2 Occurrence Handle1:STN:280:DC%2BD38%2FntFKjsw%3D%3D Occurrence Handle11797984

    Article  CAS  PubMed  Google Scholar 

  6. AH Scultetus JL Villavicencio DL Gillespie (2001) ArticleTitleThe nutcracker syndrome: Its role in the pelvic venous disorders J Vasc Surg 34 812–819 Occurrence Handle10.1067/mva.2001.118802 Occurrence Handle1:STN:280:DC%2BD3Mnksl2qsw%3D%3D Occurrence Handle11700480

    Article  CAS  PubMed  Google Scholar 

  7. MG Neste DL Narasimham KK Belcher (1996) ArticleTitleEndovascular stent placement as a treatment for renal venous hypertension J Vasc Interv Radiol 7 859–861 Occurrence Handle1:STN:280:ByiC3cbkslc%3D Occurrence Handle8951753

    CAS  PubMed  Google Scholar 

  8. TD Richardson M Tewari WD Belville (1996) ArticleTitleRecalcitrant gross hematuria secondary to left renal vein hypertension Urology 48 291–293 Occurrence Handle1:STN:280:BymA2M3nt1E%3D Occurrence Handle8753744

    CAS  PubMed  Google Scholar 

  9. JP Cerueil D Chevet C Mousson et al. (1997) ArticleTitleAcquired vein stenosis of renal allograft: percutaneous treatment with self-expanding metallic stent Nephrol Dial Transplant 12 825–826

    Google Scholar 

  10. SY Hong DH Yang PN Kim (1992) ArticleTitleUrokinase concentration in the renal artery and vein Nephron 61 176–180 Occurrence Handle1:STN:280:By2A3svkvVI%3D Occurrence Handle1630542

    CAS  PubMed  Google Scholar 

Download references

Author information

Affiliations

Authors

Corresponding author

Correspondence to Michael S. Stecker.

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Stecker, M.S., Casciani, T., Kwo, P.Y. et al. Percutaneous Stent Placement as Treatment of Renal Vein Obstruction Due to Inferior Vena Caval Thrombosis. Cardiovasc Intervent Radiol 29, 147–150 (2006). https://doi.org/10.1007/s00270-004-0198-y

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00270-004-0198-y

Keywords

  • Liver, transplantation
  • Renal veins, stenosis or obstruction
  • Stents and prostheses
  • Veins, thrombosis