Endovascular management of Adams-DeWeese clip complications: A case of successful inferior vena cava recanalization after four decades

Inferior vena cava (IVC) clips, historically used for pulmonary embolism prevention, can cause long-term complications, including chronic venous hypertension and nonhealing wounds. We present the case of a 74-year-old man with massive abdominal wall and lower extremity edema and a nonhealing venous ulcer 50 years after Adams-DeWeese clip placement. Successful management was achieved through balloon angioplasty without iliocaval reconstruction, resulting in improved venous outflow, resolution of edema, and complete wound healing. Postprocedure imaging confirmed IVC patency with intact clip integrity. This case demonstrates that balloon angioplasty without reconstruction can effectively manage long-term complication of permanent IVC clips.