Inferior vena cava-syndrome

Summary: Inferior vena cava syndrome (IVCS) is caused by agenesis, compression, invasion, or thrombosis of the IVC, or may be associated with Budd-Chiari syndrome. Its incidence and prevalence are unknown. Benign IVCS is separated from malignant IVCS. Both cover a wide clinical spectrum reaching from asymptomatic to highly symptomatic cases correlated to the underlying cause, the acuity, the extent of the venous obstruction, and the recruitment and development of venous collateral circuits. Imaging is necessary to determine the underlying cause of IVCS and to guide clinical decisions. Interventional therapy has changed the therapeutic approach in symptomatic patients. This article provides an overview over IVCS and focuses on interventional therapeutic methods and results.

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Changes and significance of hydrodynamic parameters in Budd‑Chiari syndrome with obstruction of the inferior vena cava prior to and after interventional therapy

Experimental and Therapeutic Medicine ◽

10.3892/etm.2021.9609 ◽

2021 ◽

Vol 21 (3) ◽

Author(s):

Lulu Lyu ◽

Peng Xu ◽

Jie Ping ◽

Chunfeng Hu ◽

Kai Xu

Keyword(s):

Inferior Vena Cava ◽

Inferior Vena ◽

Vena Cava ◽

Interventional Therapy ◽

Budd Chiari Syndrome ◽

Hydrodynamic Parameters ◽

Chiari Syndrome

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Sequential interventional therapy for Budd-Chiari syndrome associated with fresh inferior vena cava thrombosis

Journal of Vascular Surgery Venous and Lymphatic Disorders ◽

10.1016/j.jvsv.2020.03.005 ◽

2020 ◽

Vol 8 (6) ◽

pp. 945-952

Author(s):

Yan-Wei Zeng ◽

Chao Liu ◽

Mei-Pan Yin ◽

Yue Zhao ◽

Zhi-Wei Wang ◽

...

Keyword(s):

Inferior Vena Cava ◽

Inferior Vena ◽

Vena Cava ◽

Interventional Therapy ◽

Budd Chiari Syndrome ◽

Chiari Syndrome ◽

Vena Cava Thrombosis ◽

Inferior Vena Cava Thrombosis

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Pre-operative and post-operative ultrasound evaluation of Budd Chiari syndrome due to coarctation of the inferior vena cava

Clinical Radiology ◽

10.1016/s0009-9260(88)80414-8 ◽

1988 ◽

Vol 39 (1) ◽

pp. 154-158 ◽

Cited By ~ 1

Author(s):

V JAYANTHI ◽

S VICTOR ◽

B DHALA ◽

A GAJARAJ ◽

N MADANAGOPALAN

Keyword(s):

Inferior Vena Cava ◽

Inferior Vena ◽

Vena Cava ◽

Budd Chiari Syndrome ◽

Ultrasound Evaluation ◽

Chiari Syndrome ◽

Operative Ultrasound

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Budd-Chiari syndrome due to segmental obstruction of the inferior vena cava successfully managed with endovascular stenting

MedPharmRes ◽

10.32895/ump.mpr.2.3.22 ◽

2018 ◽

Vol 2 (3) ◽

pp. 22-26

Author(s):

Uyen Vo ◽

Duc Quach ◽

Luan Dang ◽

Thao Luu ◽

Luan Nguyen

Keyword(s):

Inferior Vena Cava ◽

Inferior Vena ◽

Laboratory Data ◽

Transaminase Level ◽

Vena Cava ◽

Budd Chiari Syndrome ◽

Endovascular Stenting ◽

Massive Ascites ◽

Chiari Syndrome ◽

History Of

Budd–Chiari syndrome (BCS), a rare and life-threatening disorder due to hepatic venous outflow obstruction, is occasionally associated with hypoproteinemia. We herein report the first case of BCS with segmental obstruction of the intrahepatic portion of inferior vena cava (IVC) and hepatic veins (HVs) successfully treated by endovascular stenting in Vietnam. A 32-year-old female patient presented with a 2-month history of massive ascites and leg swelling. She refused history of oral contraceptives use. Hepatosplenomegaly without tenderness was noted. Laboratory data showed polycythemia, mild hypoalbuminemia and hypoproteinemia, slightly high total bilirubin and normal transaminase level. The serum ascites albumin gradient was 1.9 g/dL and ascitic protein level was 1.1 g/dL. The other data were normal. BCS was suspected because of the discrepancy between mild liver failure and massive ascites; and the presence of hepatosplenomegaly and polycythemia. On abdominal magnetic resonance imaging, the segmental obstruction of three HVs and IVC was 2-3 cm long without thrombus. Cavogram revealed the severe segmental stenosis of intrahepatic portion of IVC with no visualized HV and extensive collateral veins. A Protégé stent was deployed to IVC. Leg swelling and ascites were completely resolved within 3 days after stenting. During 1-year follow-up, edema was not recurred and repeated laboratory results were all normal.

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Recanalization and Reconstruction of a Chronically Occluded Inferior Vena Cava Through an Existing Transjugular Intrahepatic Portosystemic Shunt in the Setting of Budd-Chiari Syndrome

Vascular and Endovascular Surgery ◽

10.1177/15385744211002026 ◽

2021 ◽

pp. 153857442110020

Author(s):

Reza Talaie ◽

Hamed Jalaeian ◽

Nassir Rostambeigi ◽

Anthony Spano ◽

Jafar Golzarian

Keyword(s):

Inferior Vena Cava ◽

Transjugular Intrahepatic Portosystemic Shunt ◽

Inferior Vena ◽

Vena Cava ◽

Portosystemic Shunt ◽

Hepatic Veins ◽

Budd Chiari Syndrome ◽

Chiari Syndrome ◽

Intrahepatic Portosystemic Shunt ◽

The Right

Budd-Chiari syndrome (BCS) results from the occlusion or flow reduction in the hepatic veins or inferior vena cava and can be treated with transjugular intrahepatic portosystemic shunt when hepatic vein recanalization fails.1-3 Hypercoagulable patients with primary BCS are predisposed to development of new areas of thrombosis within the TIPS shunt or IVC. This case details a patient with BCS, pre-existing TIPS extending to the right atrium, and chronic retrohepatic IVC thrombosis who underwent sharp recanalization of the IVC with stenting into the TIPS stent bridging the patient until his subsequent hepatic transplantation.

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