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May 17, 2026Journal of Vascular Surgery Cases and Innovative Techniques0 citationsOpen Access

A Unique Case of Endovascular Reconstruction of Occluded Duplicate Inferior Vena Cava and Review of Literature

ITIoannis TsouknidasSGStefanos GiannopoulosHJHyun Woo Joo

Key Points

  • To present a case of thrombosis associated with retained IVC filters in a patient with duplicate IVC and analyze endovascular treatment options.
  • Case report of bilateral IVC filter-associated thrombosis in a patient with duplicate IVC.
  • Treatment involved endovascular reconstruction of the occluded IVC.
  • Literature review on endovascular stenting efficacy for chronic IVC occlusions.
  • Achieved successful endovascular reconstruction of the occluded duplicate IVC.
  • Literature review indicates endovascular stenting can be effective in selected patients with chronic IVC occlusions.

Abstract

Abstract Inferior vena cava (IVC) filters are indicated in patients with deep venous thrombosis and a contraindication to anticoagulation and are typically removed when they are no longer needed. Real-world data demonstrates that only a small proportion of IVC filters is retrieved, imposing a risk for IVC thrombosis, occlusion and post-thrombotic syndrome. Here, we present a case of bilateral IVC filter-associated thrombosis in a patient with duplicate IVC and retained filters, treated with endovascular reconstruction. We also perform a selective review of the literature and highlight the efficiency of endovascular stenting across chronically occluded IVC filters in select patients.

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Cite This Study

Tsouknidas et al. (2026) studied this question.

synapsesocial.com/papers/6a095b1b7880e6d24efe0defhttps://doi.org/10.1016/j.jvscit.2026.102310
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