Removal of Wall-Adherent Inferior Vena Cava Thrombus with a Combined Approach Using Vacuum-Assisted Thrombectomy and a Rotational Thrombectomy Device

Figure 1

Preoperative computed tomography angiography (CTA) confirming the diagnosis of inferior vena cava and right proximal iliac vein thrombosis. (a) The black arrows mark the ECMO cannula prior to decannulation localized in the inferior vena cava. (b, c) After removal of the venous ECMO cannula, CTA shows extensive thrombosis of the inferior vena cava and the proximal right iliac vein as highlighted by the red box. (d) Subtotal occlusion of the inferior vena cava at the level of the liver is highlighted by the red circle. (e) Subtotal occlusion of the vessel lumen next to the heterotopic kidney transplant ( marking the kidney transplant).

(a)

(b)

(c)

(d)

(e)