Another unique case of a 34-yesr old engineer, who had multiple episodes of giddiness and mild abdominal pain. Also he was having breathlessness after climbing 5-10 steps of staircase.
He was evaluated and treated in other corporate hospital in Pune but that didn't improve on his symptoms; then he choose to come to our hospital for treatment.
As soon as he came to our hospital, our team of doctors Dr. Amol Bansode, Dr. Ashish Patil, Dr. Sandeep Kulkarni (Gastroenterologist) evaluated the patient and did basic investigations like sonography and suspected block in veins of liver and largest vein in tummy called inferior vena cava (IVC). The clinical and sonography findings were confirmed by CT scan and then he was immediately referred to our Vascular & Interventional Radiologist Dr. Yadav Munde for further management by minimally invasive endovascular techniques.
Dr. Yadav Munde then performed Percutaneous IVC thrombectomy by using Angiojet device. This device is recently made available in India and used for the first time in Pune at Sahayadri Hospital, Deccan. Our patient was freed from IVC thrombus immediately after the procedure and his symptoms were relieved completely.
Dr. Yadav Munde is Pune's first university fellowship trained Interventional Radiologist (MUHS) and is one of just a handful Interventional Radiologists in INDIA who possess additional qualification in Interventional Radiology.
Few years back the mainstay of treatment of such disease was only medications like anticoagulation and patients had to suffer from sequel of these vein blocks like ascites, portal hypertension, leg pain, swelling, etc. for lifetime. But with the help of latest treatment like Percutaneous Thrombectomy of IVC by Angiojet technique, the clot in IVC could be removed in just half an hour and normal flow could be established immediately, hence avoiding long term ill effects of IVC block.
The advantage of having Angiojet is- it is safe, reliable and helps the interventional radiologist to clear off the clots from blood vessels very efficiently and quickly hence reducing procedure time and radiation to patient and healthcare workers. As patient recovers early from the disease, it helps to reduce hospital stay and its cost.
Thrombosis of the inferior vena cava (IVC) is an under-recognized entity with a variety of clinical presentations. The implications and complexity of IVC thrombosis (IVCT) merit specific attention.
From a global standpoint, IVCT represents a subset of DVT. Virchow recognized and described the factors predisposing a patient to venous thrombosis. The triad of stasis, vessel injury, and hypercoagulability formulated by Virchow remain the foundation for our understanding of the pathophysiology of DVT in general and for IVCT in particular.
As appreciation of the impact of these factors on the patient has improved, therapy has become more directed.
The clinical presentation of IVCT varies, depending on extent and location of the thrombus. Because of the variability in signs and symptoms, using a classification system to describe the clinical features may aid in the diagnosis of this condition.
Thrombophilic screening and evaluation of the clotting and fibrinolytic systems may aid in the diagnosis of IVCT. Contrast venography remains the criterion standard as the optimal diagnostic study for this condition.
Medical management of vena caval thrombosis focuses on anticoagulation and thrombolytic therapy. Endovascular interventions like Percutaneous thrombectomy is treatment of choice in present era.
Surgical management of this condition consists of caval interruption, thrombectomy but is almost absolute now a days.
When To Seek Medical Care for a Blood Clot In the Vein
Call the doctor immediately if a blood clot is suspected.
- Although a deep vein thrombosis may resolve on its own, the life-threatening consequences of a clot reaching the lung, called pulmonary embolism, are severe enough to warrant seeking medical attention immediately
- The doctor may tell the patient to go immediately to a hospital emergency department
If a person has leg pain or swelling with any risk factors, go to a hospital emergency department immediately
Call 108 if you or someone you know with a current deep vein thrombosis, previous deep vein thrombosis, or other DVT/PE risk factor begins having chest pain, shortness of breath, difficulty breathing, fainting, or any other concerning symptom.