case_images: PMC3505960_01
case_images: Initial diagnostic venography at presentation prior to thrombolysis; left iliac vein.
case_images: CRIM.TRANSPLANTATION2012-390980.001.jpg
case_images: PMC3505960_01_CRIM.TRANSPLANTATION2012-390980.001.jpg
case_images: fig1
case_images: Two infusion catheters were placed under fluoroscopic guidance: one to treat the transplant and juxta-anastomotic iliac veins and the other for the iliofemoral venous system distal to the allograft (done within twelve hours after presentation). (Figure 1).
case_images: The x-axis is time (days) and the y-axis serum creatinine values in mg/dL. Elevation of serum creatinine was seen at the time of admission (arrow) which peaked and then gradually returned to baseline after successful thrombolysis, angioplasty, and stent placement.
case_images: CRIM.TRANSPLANTATION2012-390980.002.jpg
case_images: PMC3505960_01_CRIM.TRANSPLANTATION2012-390980.002.jpg
case_images: fig2
case_images: Serum creatinine peaked at 3.14 mg/dL and then gradually returned to baseline after successful thrombolysis, angioplasty, and stent placement (Figure 2). tPA was continued for approximately 2 days.
case_images: Intravascular ultrasound (IVUS) in the left iliac vein (anterior at top of image) demonstrating compression from the adjacent right iliac artery (2 o'clock position) before stenting.
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case_images: PMC3505960_01_CRIM.TRANSPLANTATION2012-390980.003.jpg
case_images: fig3
case_images: Intraprocedural intravascular ultrasound (IVUS) of left iliac vein demonstrated compression of left iliac vein between the right iliac artery and vertebra (Figure 3).
case_images: Poststent placement intravascular ultrasound (IVUS) in the left iliac improvement in lumen size.
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case_images: PMC3505960_01_CRIM.TRANSPLANTATION2012-390980.004.jpg
case_images: fig4
case_images: Poststent placement IVUS demonstrated improvement in lumen size (Figure 4).
case_images: Follow-up venogram demonstrating widely patent iliac vein, stent, and transplant allograft vein.
case_images: CRIM.TRANSPLANTATION2012-390980.005.jpg
case_images: PMC3505960_01_CRIM.TRANSPLANTATION2012-390980.005.jpg
case_images: fig5
case_images: Followup venography at discharge and 3 months later demonstrated complete stent patency without residual thrombus (Figure 5).