TITLE

Duplex Examination of the Inferior Vena Cava

AUTHOR(S)
Kazmers, Andris; Groehn, Harvey; Meeker, Chris
PUB. DATE
October 2000
SOURCE
American Surgeon;Oct2000, Vol. 66 Issue 10, p986
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Duplex examination of the inferior vena cava (IVC) was performed in 270 patients from 1/1/96 to 1/1/00 to define suitability of the IVC for caval interruption using noninvasive means. The IVC was interrogated using a 3-mHz curved linear array probe and an ATL Ultramark 9 ultrasound machine (Bothell, WA). Duplex measured IVC dimensions and defined presence of thrombus or anomalies. Of the 270 IVC duplex examinations 10.7 per cent (n = 29) could not be completed because of overlying bowel gas or for other technical reasons. Of the 241 completed studies 4.1 per cent (n = 10) revealed acute or chronic thrombosis of the IVC. The lateral diameter of the IVC was 20.3 +/- 4.4 mm (95% confidence interval 19.8-20.9 mm), whereas the anteroposterior diameter was 12.6 +/- 4.0 mm (95% confidence interval 12.1-13.1 mm). Excluding those with vena cava thrombosis maximum vena cava diameters exceeded 28 mm in only 2.2 per cent (n = 5) of those with technically adequate studies. Apart from the latter megacavas there were no major IVC anomalies detected. For those with incomplete studies body weight was 192 +/- 59 lb versus 169 +/- 38 lb for those with technically adequate studies (P = 0.008). Technically adequate vena cava duplex examinations can be performed in 89 per cent of patients. On the basis of this and one prior study done at this center IVC duplex can define vena cava dimensions and presence of thrombus. Using the standard criteria for IVC filter insertion that require presence of a maximum cava diameter less than or equal to 28 mm and absence of caval thrombus or anomalies, 94 per cent (226 of 241) of those with complete duplex examinations would have been anatomically suitable for standard Greenfield filter insertion based on noninvasive testing.
ACCESSION #
3667006

 

Related Articles

  • Deep Venous Thrombosis of the Leg, Associated with Agenesis of the Infrarenal Inferior Vena Cava and Hypoplastic Left Kidney (KILT Syndrome) in a 14-Year-Old Child. Bami, Sakshi; Vazquez, Yarelis; Chorny, Valeriy; Goldfisher, Rachelle; Amodio, John // Case Reports in Pediatrics;1/5/2015, Vol. 2015, p1 

    Agenesis of the inferior vena cava (IVC) is a rare anomaly which can be identified as incidental finding or can be associated with iliofemoral vein thrombosis. IVC agenesis has a known association with renal anomalies which are mainly confined to the right kidney. We describe a case of a...

  • IVC Thrombosis: A Preoperative Surprise In A Young Patient Of Acute Appendicitis. Khan, Arshad B.; Saied, Ghiath A.; Emran, Fawaz A; Din, Mohamed S. // Internet Journal of Surgery;2010, Vol. 26 Issue 1, p1 

    Venous thrombosis is a well-known complication of acute appendicitis, like many other intra-abdominal septic conditions. These events can present peripherally in the form of deep vein thrombosis of the lower extremities, or more centrally as pelvic thrombophlebitis. However, an inferior vena...

  • Placement of a spring filter during interventional treatment of deep venous thrombosis to reduce the risk of pulmonary embolism. Hosaka, J.; Roy, S.; Kuroki, K.; Xian, Z.; Kvernebo, K.; Enge, I.; Lerum, F.; Laerum, F // Acta Radiologica;Sep1999, Vol. 40 Issue 5, p545 

    Purpose: To assess the efficacy of the Spring filter during interventional treatment of deep venous thrombosis in vivo.Material and Methods: A model of inferior vena cava thrombosis was used. Part I: The thrombus was treated by the pulse-spray technique (PT) (urokinase...

  • Anomalies of the inferior vena cava in patients with iliac venous thrombosis. Obernosterer, Andrea; Aschauer, Manuela; Schnedl, Wolfgang; Lipp, Rainer W. // Annals of Internal Medicine;1/1/2002, Vol. 136 Issue 1, p37 

    Background: Cases of deep venous thrombosis in the lower extremities triggered by abnormalities of the vena cava have been reported.Objective: To describe anomalies of the inferior vena cava in patients with deep venous thrombosis.Design: Prospective,...

  • Ultrasonographic examination of the venae cavae. Jardin, Fran├žois; Vieillard-Baron, Antoine; Jardin, Fran├žois // Intensive Care Medicine;Feb2006, Vol. 32 Issue 2, p203 

    The article focuses on the ultrasonographic examination of the vanae cavae. The superior vena (SVC) was performed by a transesophageal approach and the interior vena cava (IVC) was performed by a transthoracic approach. It has been proven that the measurement of IVC diameter in different...

  • A Prospective Evaluation of a Bedside Technique for Placement of Inferior Vena Cava Filters: Accuracy and Limitations of Intravascular Ultrasound. Gamblin, T. Clark; Ashley, Dennis W.; Burch, Shelia; Solis, Maurice // American Surgeon;May2003, Vol. 69 Issue 5, p382 

    Our objective was to evaluate the safety and accuracy of a bedside technique for placing vena cava filters with intravascular ultrasonography. We conducted a prospective case series of 36 patients requiring prophylactic vena cava filter placement. Intravascular ultrasound (IVUS) was used to...

  • Candida inferior vena cava filter infection and septic thrombophlebitis. M S Meda; A J Lopez; A Guyot // British Journal of Radiology;Feb2007, Vol. 80 Issue 950, pe48 

    Candida infection following central venous catheterization (CVC) is a well known complication, most common infection being that caused by Candida albicans. Less common is infection with Candida glabrata. Candida septic thrombophlebitis of the central veins is an uncommon complication after CVC....

  • Dedicated Tracking of Patients with Retrievable Inferior Vena Cava Filters Improves Retrieval Rates. Lucas, Donald J.; Dunne, James R.; Rodriguez, Carlos J.; Curry, Kathleen M.; Elster, Eric; Vicente, Diego; Malone, Debra L. // American Surgeon;Aug2012, Vol. 78 Issue 8, p870 

    Retrievable IVC filters (R-IVCF) are associated with multiple complications, including filter migration and deep venous thrombosis. Unfortunately, most series of R-IVCF show low retrieval rates, often due to loss to follow-up. This study demonstrates that actively tracking R-IVCF improves...

  • Thrombosed interrupted inferior vena cava and retroaortic left renal vein mimicking retroperitoneal neoplasm. Cizginer, Sevdenur; Tatli, Servet; Girshman, Jeffrey; Beckman, Joshua; Silverman, Stuart // Abdominal Imaging;May2007, Vol. 32 Issue 3, p403 

    Anomalies of the inferior vena cava (IVC) have been recognized as one of the predisposing factors for deep vein thrombosis. Rarely, thrombosis of an anomalous retroperitoneal vein may resemble a soft tissue mass. Awareness of this fact helps preventing unnecessary interventions. We report a case...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics