Temporary Caval Interruption Using a Novel Angel Catheter in a Patient With a Mega Cava
A 33 year-old woman with no significant past medical history presented with vaginal bleeding and left leg swelling. Work up revealed an acute left-sided ilio-femoral deep vein thrombosis (DVT) extending into the infra-renal inferior vena cava (IVC) and a massive uterine fibroid causing extrinsic IVC compression with occlusion to the level of the renal veins. Her suprarenal IVC was patent but measured 34 mm.
Which of the following is the best management for this patient's acute DVT and IVC compression?