Evaluation of dangerous collateral vessels and thrombus in Budd-Chiari syndrome patients with inferior vena cava obstruction

2021 ◽  
Author(s):  
Dehan Liu ◽  
Qianqian Ren ◽  
Tianhe Ye ◽  
Chuansheng Zheng ◽  
Yangbo Su ◽  
...  
Keyword(s):  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Vena Cava ◽  
Budd Chiari Syndrome ◽  
Inferior Vena Cava Obstruction ◽  
Chiari Syndrome ◽  
Collateral Vessels

scholarly journals Endovascular treatment of an obstructive membrane between inferior vena cava and right atrium in an unrecognized Budd-Chiari syndrome

2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Maja Strozzi ◽  
Kristina Maric Besic ◽  
Knezevic Stromar Ivana ◽  
Anić Darko
Keyword(s):  
Inferior Vena Cava ◽  
Balloon Angioplasty ◽  
Inferior Vena ◽  
Vena Cava ◽  
Percutaneous Treatment ◽  
Right Atrial ◽  
Budd Chiari Syndrome ◽  
Inferior Vena Cava Obstruction ◽  
Chiari Syndrome ◽  
Atrial Tumor

Abstract Background Budd-Chiari syndrome is defined as a hepatic venous outflow track obstruction of various etiology, which appears at different levels. The inferior vena cava outflow membrane is an unusual, but a potentially treatable cause. The percutaneous treatment has emerged as a very promising management mode for such patients. Follow-up results are favorable for balloon angioplasty and/or stenting, with minimal re-stenosis rates. Case presentation We report a case of a young woman, earlier operated on congenital heart defect and with previous pulmonary embolic incident after childbirth, with no evidence of thrombophilia. She was admitted to our institution for a suspected right atrial tumor. After the diagnosis of Budd-Chiari syndrome caused by membranous inferior vena cava obstruction, a percutaneous treatment of a thick membrane was successfully performed, using an unusual technique. Conclusion Balloon angioplasty should be considered in cases of membranous obstruction of vena cava, where a focal obstruction is causing the symptoms. In our patient, the anatomy was not suitable for stenting, and balloon dilatation was successful just after the membrane was pulled apart with a big balloon in a “Rashkind-like” procedure.

Sign in / Sign up

Export Citation Format

Share Document