Chronic inferior vena cava filter thrombosis presenting with low back pain and radiculopathy: Treatment with thrombolysis, filter removal, and stenting.

Affiliation

Vilanilam GK(1), Maynard NK(2), Palmer AW(3), Moore J(2), Kamran M(2), Radvany MG(4).
Author information:
(1)Department of Radiology, University of Arkansas for Medical Sciences, Little Rock, AR, United States. Electronic address: [Email]
(2)Department of Radiology, University of Arkansas for Medical Sciences, Little Rock, AR, United States.
(3)Department of Neurosurgery, University of Arkansas for Medical Sciences, Little Rock, AR, United States.
(4)Department of Radiology, University of Arkansas for Medical Sciences, Little Rock, AR, United States; Department of Neurosurgery, University of Arkansas for Medical Sciences, Little Rock, AR, United States.

Abstract

BACKGROUND: Epidural venous congestion secondary to inferior vena cava (IVC) stenosis is a well-documented cause of low back pain and radiculopathy secondary to compressive effects from the epidural veins, decreased tissue perfusion, and resultant ischemia. METHODS: Single patient case report. CASE DESCRIPTION: We report a unique case of a 62-year-old male with low back pain secondary to IVC stenosis from a chronically occluded IVC filter. The patient's pain resolved with endovascular removal of the occluded filter and recanalization of the IVC. CONCLUSION: We demonstrated that by treating the underlying cause of secondary epidural venous engorgement (occluded IVC filter in this case), the patient experienced resolution of back pain and radiculopathy.