OBJECTIVE: Dynamic changes in anatomic geometry of the inferior vena cava from changes in intravascular volume may cause passive stresses on inferior vena cava filters. In this study, we aim to quantify variability in inferior vena cava dimensions and anatomic orientation to determine how intravascular volume changes may impact complications of inferior vena cava filter placement, such as migration, tilting, perforation, and @entity715 . METHODS: Retrospective computed tomography measurements of major @entity2270 , @entity2048 , and horizontal diameters of the inferior vena cava at 1 and 5   cm below the lowest renal vein in 58 adult @entity130 @entity1 in pre-resuscitative ( @entity3485 ) and post-resuscitative (euvolemic) states were assessed in a blinded fashion by two independent readers. Inferior vena cava perimeter, area, and volume were calculated and correlated with caval orientation. RESULTS: Mean volumes of the inferior vena cava segment on pre- and post-resuscitation scans were 9.0   cm(3) and 11.0   cm(3), respectively, with mean percentage increase of 48.6% (P   <   0.001). At 1   cm and 5   cm below the lowest renal vein, the inferior vena cava expanded anisotropically, with the @entity2048 expanding by an average of 48.7% (P   <   0.001) and 30.0% (P   =   0.01), respectively, while the major @entity2270 changed by only 4.2% (P   =   0.11) and 6.6% (P   =   0.017), respectively. Cross-sectional area and perimeter at 1   cm below the lowest renal vein expanded by 61.6% (P   <   0.001) and 10.7% (P   <   0.01), respectively. At 5   cm below the lowest renal vein, the expansion of cross-sectional area and perimeter were 43.9% (P   <   0.01) and 10.7% (P   =   0.002), respectively. The major @entity2270 of the inferior vena cava was oriented in a left-anterior oblique position in all @entity1 , averaging 20   from the horizontal plane. There was significant underestimation of inferior vena cava maximal diameter by horizontal measurement. In pre-resuscitation scans, at 1   cm and 5   cm below the lowest renal vein, the discrepancy between the horizontal and major @entity2270 diameter was 2.1        1.2   mm (P   <   0.001) and 1.7        1.0   mm (P   <   0.001), respectively, while post-resuscitation studies showed the same underestimation at 1   cm and 5   cm below the lowest renal vein to be 2.2        1.2   mm (P   <   0.01) and 1.9        1.0   mm (P   <   0.01), respectively. CONCLUSIONS: There is significant anisotropic variability of infrarenal inferior vena cava geometry with significantly greater expansive and compressive forces in the @entity2048 . There can be significant volumetric changes in the inferior vena cava with associated perimeter changes but the major @entity2270 left-anterior oblique caval configuration is always maintained. These significant dynamic forces may impact inferior vena cava filter stability after implantation. The consistent major @entity45676 may lead to underestimation of the inferior vena cava diameter used in standard anteroposterior venography, which may influence initial filter selection.

Geometric changes of the inferior vena cava in XXXX @entity1 subjected to volume resuscitation.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity45676 :: ('MESH:C537736', 'Disease') :: ['axis left-anterior oblique obliquity'] @entity2048 :: ('MESH:D004832', 'Disease') :: ['minor axis'] @entity3485 :: ('MESH:D020896', 'Disease') :: ['hypovolemic'] @entity2270 :: ('MESH:C566610', 'Disease') :: ['axis'] @entity715 :: ('MESH:D013927', 'Disease') :: ['thrombosis'] @entity130 :: ('MESH:D014947', 'Disease') :: ['trauma']
@entity130 :: (MESH:D014947,Disease) :: ['trauma']
