Endovascular Treatment (Stenting) of Total IVC Obstruction with Collaterals in Young Adult with Crohn’s Disease Maharishi Markandeshwar (Deemed to Be University)

Abstract

We present a case of clinically extensive bilateral DVTs associated with chronic total inferior vena cava

thrombosis with underlying crohn’s disease and who is on steroid therapy. Young patients presenting with

symptoms of DVT should be investigated not only to establish any thrombophilic pre-disposition but to

ascertain the proximal extent of thrombus which may itself influence treatment. Treatment options in the

case of IVC thrombus without anatomical variance include anticoagulation, mechanical thrombectomy,

systemic thrombolytic therapy, transcatheter regional thrombolysis, and angioplasty