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General Medicine

Inferior Vena Cava Syndrome

Mariam Dvalishvili, MD and Parvathi Perumareddi, DO Reviewed 05/2023
 


BASICS

DESCRIPTION

Inferior vena cava (IVC) syndrome is a constellation of signs and symptoms that arise from the disruption of blood flow from the IVC. IVC syndrome can be caused by a variety of patho...

DIAGNOSIS

Diagnosis is made clinically. The focus should be on identifying the underlying etiology (1). 

HISTORY

  • Patients may be asymptomatic or have few symptoms regardless of notable obstruction (1)...

TREATMENT

Treatment decisions should be guided by the underlying pathology with consideration of the risk and benefits provided by intervention (1). 

SURGERY/OTHER PROCEDURES

  • If IVC filter is the etiol...

ONGOING CARE

PROGNOSIS

Prognosis is dependent upon multiple factors and depends on the etiology of the IVC syndrome, the available interventions, hemodynamics and comorbid conditions of patient, and se...

REFERENCES

1
Klein-Weigel PF, Elitok S, Ruttloff A, et al. Inferior vena cava-syndrome. Vasa. 2021;50(4),250–264. https://doi.org/10.1024/0301-1526/a000919 
2
Lawrensia S, Khan YS. (2022). Inferior vena ...

CLINICAL PEARLS

  •  IVC syndrome can be a life-threatening condition and requires prompt evaluation and intervention when indicated.  

  • There is a spectrum of etiologies, but the core concept is disruption...

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