Common iliac vein thrombosis as a result of proximal venous stenosis following renal transplantation: A case report

Atish Chopra, Malcolm MacConmara, Sanjeeva Kalva, Juan D. Arenas, Christine Hwang

Research output: Contribution to journalArticle

Abstract

Proximal iliac vein stenosis resulting in iliac vein thrombus and venous outflow obstruction in renal transplant patients is an exceedingly rare occurrence. We present a case of a 63-year-old male who underwent deceased donor renal transplantation and presented 12 days later with ipsilateral lower extremity swelling and plateauing serum creatinine. Further work-up demonstrated proximal iliac vein deep venous thrombosis and anticoagulation was initiated. However, propagation of the thrombus developed despite receiving therapeutic anticoagulation. Subsequent venography demonstrated proximal iliac venous stenosis and the patient underwent successful catheter-directed alteplase thrombolysis, inferior vena cava filter placement and iliac vein stenting with salvage of the renal allograft. A diagnostic strategy and management algorithm for iliac vein stenosis and thrombosis in a renal transplant recipient is proposed.

Original languageEnglish (US)
Pages (from-to)23-26
Number of pages4
JournalTransplantation Reports
Volume1
Issue number3-4
DOIs
StatePublished - Dec 1 2016

Keywords

  • Iliac
  • Renal
  • Stenosis
  • Thrombosis
  • Transplant
  • Vein

ASJC Scopus subject areas

  • Transplantation
  • Surgery

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