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Image reveals complete obstruction of IVC simultaneous contrast injection from upper and lower limb approach revealing membranous obstruction (A and B). Lesion crossed with Brockenbrough needle puncture/coiled guide wire through Mullins sheath in right atrial. (C) MVOC dilated with Inoue balloon (C). Final post balloon angioplasty image (D) reveals no residual obstruction. IVC: inferior vena cava, MOVC: membranous obstruction of IVC.
