Iliocaval stent reconstruction following inferior vena cava filter associated chronic thrombotic occlusion in a patient with factor v leiden mutation – a case report and review of literature

Abstract

Iliocaval occlusion is an increasingly recognized complication following inferior vena cava (IVC) filter placement with an incidence ranging from 3-30%. While there is evidence that this condition can be managed with endovascular stenting, there has been limited discussion regarding management of patients with iliocaval occlusion who also have hereditary thrombophilias. We describe a case of a 44-year-old male with Factor V Leiden mutation (FVL) who developed IVC filter-related post-thrombotic iliocaval occlusion and was treated using endovascular stenting. This case aims to highlight the utility of endovascular stenting in patients with thrombophilias who develop iliocaval occlusion and discuss the relevant literature.