Figure 6. Pre-thrombectomy venogram showing nearly occlusive venous thrombosis in the pancreatic graft.

A venogram was performed in the supine position using digital subtraction angiography. In the image, a sheath (black arrow) is located in the left CIV. A catheter (red arrow) is also seen traversing the right CIV and connecting through a venous anastomosis between the donor's SMV and the recipient's native right CIV. The catheter terminates in the donor SMV. Notably, the donor SMV shows a nearly complete occlusive thrombus up to the level of the anastomosis (white arrows). The blue arrow indicates the double J stent in the left lower quadrant transplant kidney, and the ureter is also partially seen

CIV: common iliac vein; SMV: superior mesenteric vein