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Abdominal Radiology
Published in: Abdominal Radiology 12/2017

01-12-2017 | Classics in Abdominal Imaging

The IVC contrast level sign

Authors: Ho Yuen Frank Wong, Kam Ho Lee

Published in: Abdominal Radiology | Issue 12/2017

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Abstract

The inferior vena cava (IVC) contrast level sign refers to a contrast-fluid level seen in the IVC on an arterial phase contrast-enhanced computed tomography (CT) scan. This sign has been documented in conditions including cardiac tamponade, myocardial infarction, and cardiac arrest. When this sign is detected, the patient requires immediate attention, with resuscitation initiated as needed, and the referring clinician alerted as soon as possible.
Literature
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Roth C, Sneider M, Bogot N, Todd M, Cronin P (2006) Dependent venous contrast pooling and layering: a sign of imminent cardiogenic SHOCK. Am J Roentgenol 186(4):1116–1119CrossRef
2.
Restrepo CS, Lemos DF, Lemos JA, et al. (2007) Imaging findings in cardiac tamponade with emphasis on CT. RadioGraphics 27(6):1595–1610CrossRefPubMed
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Poh F, Chow MB (2014) Case report: a patient with acute cardiac tamponade secondary to complicated stanford type A intramural haematoma—the role of CT. Med J Malays 69(1):37–39
4.
Sueyoshi E, Imamura T, Sakamoto I, Uetani M, Matsuoka Y (2010) Contrast-fluid level in the inferior vena cava (IVC niveau sign) in patients with acute type A aortic dissection: computed tomography findings during acute cardiac tamponade. Jpn J Radiol 28(4):278–282CrossRefPubMed
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Tsai PP, Chen JH, Huang JL, Shen WC (2002) Dependent pooling a contrast-enhanced sign of cardiac arrest during CT. Am J Roentgenol 178(5):1095–1099CrossRef
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Metadata
Title
The IVC contrast level sign
Authors
Ho Yuen Frank Wong
Kam Ho Lee
Publication date
01-12-2017
Publisher
Springer US
Published in
Abdominal Radiology / Issue 12/2017
Print ISSN: 2366-004X
Electronic ISSN: 2366-0058
DOI
https://doi.org/10.1007/s00261-017-1233-1

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