This poor unfortunate patient was having complications with the patient's hemodialysis catheter. Evaluation demonstrates large clot burden in the IVC above the renal vein origins. This patient is at risk for pulmonary embolus.
Treatment options include - IVC filter placement, oral anticoagulation and thrombolysis. Because the patient has multiple venous occlusions in the neck and upper extremity veins, IVC filter cannot be placed.
References: VIR Requisites (Kaufman et al)
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