Intra-abdominal Venous Thromboses and Their Management

Karan Rao; Yashant Aswani; Hans Bindner; Aditi Patel; Sarah Averill; Trent Davis; Mohammad Amarneh

doi:10.1016/j.acra.2023.12.018

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Intra-abdominal Venous Thromboses and Their Management

Journal article

Peer reviewed

Intra-abdominal Venous Thromboses and Their Management

Karan Rao, Yashant Aswani, Hans Bindner, Aditi Patel, Sarah Averill, Trent Davis and Mohammad Amarneh

Academic radiology, Vol.31(8), pp.3212-3222

08/2024

DOI: 10.1016/j.acra.2023.12.018

PMID: 38184416

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Abstract

While a plethora of articles discuss management of deep venous thromboses in extremities, there is a relative scarcity of literature comprehensively describing intra-abdominal venous thromboses, and their management. Intra-abdominal venous thromboses include iliocaval venous obstruction (ICVO), hepatic venous thrombosis (HVT), portal venous thrombosis (PVT), renal vein thrombosis (RVT), splenic vein thrombosis (SVT), and gonadal vein thrombosis (GVT); each of which provides unique microenvironmental challenges to management. Doppler ultrasound is the first line imaging modality for diagnosis, and computed tomography and magnetic resonance imaging can help define the extent of thrombus burden and aid with interventional planning. Systemic anticoagulation remains the common medical treatment for intra-abdominal venous thrombosis, however, catheter directed thrombolysis and thrombectomy show positive outcomes in ICVO, HVT, PVT, and RVT, with transjugular intrahepatic portosystemic shunt (TIPS) creation especially beneficial in HVT and PVT. In this review article, we describe pathophysiology, clinical features, imaging findings, and current management options for intra-abdominal venous thromboses.

Details

Title: Subtitle: Intra-abdominal Venous Thromboses and Their Management
Creators: Karan Rao - University of Iowa
Yashant Aswani - University of Iowa
Hans Bindner - University of Iowa
Aditi Patel - University of Iowa
Sarah Averill - University of Iowa, Radiology
Trent Davis - Dignity Health
Mohammad Amarneh - Boston Children's Hospital
Resource Type: Journal article
Publication Details: Academic radiology, Vol.31(8), pp.3212-3222
DOI: 10.1016/j.acra.2023.12.018
PMID: 38184416
NLM abbreviation: Acad Radiol
ISSN: 1076-6332
eISSN: 1878-4046
Language: English
Electronic publication date: 01/05/2024
Date published: 08/2024
Academic Unit: Radiology
Record Identifier: 9984544956402771

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