Journal: BJR Case Reports

Article Title: Endovascular pharmacomechanical thrombolysis—a novel treatment for circumaortic left renal vein and inferior vena cava thrombosis in a paediatric patient with relapsing nephrotic syndrome

doi: 10.1259/bjrcr.20170082

Figure Lengend Snippet: Angiography before (a) and after (b–d) Angiojet pulse spray tissue plasminogen activator thrombolysis and balloon angioplasty demonstrate progressive recanalization of the left renal vein, with opacification now seen in the anterior and posterior limbs of the renal vein and flow extending into the IVC (black arrows—b, c). Pigtail angiography performed following aspiration thrombectomy shows wide patency of the left renal vein (black arrows—d) with a large thrombus having been captured by the in situ IVC filter (white arrow—d), demonstrating the utility and efficacy of prophylactic filter placement when performing such intervention.

Article Snippet: From the neck access, an Option Elite IVC filter (Argon Medical Devices Inc., Plano, TX) was inserted in a suprarenal position above the level of the IVC thrombus [ ], which acted as a safeguard against potential periprocedural thromboembolic events.

Techniques: In Situ