Dependent layering of venous refluxed contrast: A sign of critically low cardiac output.

Radiol Case Rep

Department of Radiology, Temple University Hospital, 3401 North Broad Street, Philadelphia, PA 19140, USA.

Published: February 2019

AI Article Synopsis

  • Mortality from cardiogenic shock can be as high as 80%.
  • The "IVC level sign," observed on contrast-enhanced CT, indicates specific hemodynamic changes associated with this condition.
  • Quickly identifying the IVC level sign is crucial for improving patient outcomes.

Article Abstract

Mortality associated with cardiogenic shock can reach 80%. Although most often diagnosed clinically, the hemodynamics of cardiogenic shock may manifest on contrast-enhanced computed tomography as dependent layering of contrast within the inferior vena cava (IVC), a finding referred to as the "IVC level sign." Herein we present 2 cases of the IVC level sign. Swift recognition of the IVC level sign and awareness of its dire prognostic implications is essential for achieving the best patient outcomes.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250913PMC
http://dx.doi.org/10.1016/j.radcr.2018.10.021DOI Listing

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