I am not sure about the ”twisting“ but we had similar cases of IVC-stenosis and were able to treat them successfully with stenting.
So, I personally would stent this patient.
Prof. Dr. Markus Peck-Radosavljevic, M.D.
Chair, Dept. Internal Medicine & Gastroenterology (IMuG)
Hepatology, Endocrinology, Rheumatology and Nephrology
with Centralized Emergency Department (ZAE)
Klinikum Klagenfurt am Wörthersee
Ph: +43 463 538 31103 (Ms. Werkl)
Fax: +43 463 538 31109
On Twitter: @MarkusPeck1