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Endovascular stenting of the inferior vena cava in a patient with Budd-Chiari syndrome and main hepatic vein thrombosis: a case report

Endovascular stenting is accepted as an effective treatment for patients with Budd-Chiari syndrome (BCS). We herein present a case of successful endovascular treatment. A 46-year-old woman, who was followed up for 10 years after a diagnosis of BCS, showed progression progressive of liver cirrhosis a...

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Autores principales: Yoon, Young-In, Hwang, Shin, Ko, Gi-Young, Ha, Tae-Yong, Song, Gi-Won, Jung, Dong-Hwan, Lee, Young-Sang, Lee, Sung-Gyu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Association of Hepato-Biliary-Pancreatic Surgery 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4494094/
https://www.ncbi.nlm.nih.gov/pubmed/26155275
http://dx.doi.org/10.14701/kjhbps.2015.19.1.35
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author Yoon, Young-In
Hwang, Shin
Ko, Gi-Young
Ha, Tae-Yong
Song, Gi-Won
Jung, Dong-Hwan
Lee, Young-Sang
Lee, Sung-Gyu
author_facet Yoon, Young-In
Hwang, Shin
Ko, Gi-Young
Ha, Tae-Yong
Song, Gi-Won
Jung, Dong-Hwan
Lee, Young-Sang
Lee, Sung-Gyu
author_sort Yoon, Young-In
collection PubMed
description Endovascular stenting is accepted as an effective treatment for patients with Budd-Chiari syndrome (BCS). We herein present a case of successful endovascular treatment. A 46-year-old woman, who was followed up for 10 years after a diagnosis of BCS, showed progression progressive of liver cirrhosis and deterioration deteriorated of liver function. Three main hepatic veins were thrombosed with complete occlusion of the suprahepatic of the inferior vena cava (IVC); thus, hepatic venous blood flow was draining into the inferior right hepatic veins through the intrahepatic collaterals and passed passing through the subcutaneous venous collaterals. She underwent endovascular stenting of the IVC for palliation. A septoplasty needle was passed through the occluded IVC through into the internal jugular vein access and then to access the femoral vein using a snare wire. Severe elastic recoiling was observed after balloon dilatation; thus, a 28×80 mm stenting was done inserted across the occlusion, and repeat double ballooning was performed. The final venogram shows showed restored IVC inflow. The patient began to lose body weight 1 day after stenting, and edema disappeared within 1 week. She is was doing well at the 6 month follow-up visit with nearly normal liver function and marked resolution of cutaneous venous engorgement. In conclusion, endovascular stenting appeared to be an effective treatment to alleviate portal pressure and to prevent BCS-associated complications; thus, endovascular stenting should be considered before marked hepatic vein stenosis or complete occlusion occurs in patients with BCS.
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spelling pubmed-44940942015-07-07 Endovascular stenting of the inferior vena cava in a patient with Budd-Chiari syndrome and main hepatic vein thrombosis: a case report Yoon, Young-In Hwang, Shin Ko, Gi-Young Ha, Tae-Yong Song, Gi-Won Jung, Dong-Hwan Lee, Young-Sang Lee, Sung-Gyu Korean J Hepatobiliary Pancreat Surg Case Report Endovascular stenting is accepted as an effective treatment for patients with Budd-Chiari syndrome (BCS). We herein present a case of successful endovascular treatment. A 46-year-old woman, who was followed up for 10 years after a diagnosis of BCS, showed progression progressive of liver cirrhosis and deterioration deteriorated of liver function. Three main hepatic veins were thrombosed with complete occlusion of the suprahepatic of the inferior vena cava (IVC); thus, hepatic venous blood flow was draining into the inferior right hepatic veins through the intrahepatic collaterals and passed passing through the subcutaneous venous collaterals. She underwent endovascular stenting of the IVC for palliation. A septoplasty needle was passed through the occluded IVC through into the internal jugular vein access and then to access the femoral vein using a snare wire. Severe elastic recoiling was observed after balloon dilatation; thus, a 28×80 mm stenting was done inserted across the occlusion, and repeat double ballooning was performed. The final venogram shows showed restored IVC inflow. The patient began to lose body weight 1 day after stenting, and edema disappeared within 1 week. She is was doing well at the 6 month follow-up visit with nearly normal liver function and marked resolution of cutaneous venous engorgement. In conclusion, endovascular stenting appeared to be an effective treatment to alleviate portal pressure and to prevent BCS-associated complications; thus, endovascular stenting should be considered before marked hepatic vein stenosis or complete occlusion occurs in patients with BCS. Korean Association of Hepato-Biliary-Pancreatic Surgery 2015-02 2015-02-28 /pmc/articles/PMC4494094/ /pubmed/26155275 http://dx.doi.org/10.14701/kjhbps.2015.19.1.35 Text en Copyright © 2015 by The Korean Association of Hepato-Biliary-Pancreatic Surgery http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Yoon, Young-In
Hwang, Shin
Ko, Gi-Young
Ha, Tae-Yong
Song, Gi-Won
Jung, Dong-Hwan
Lee, Young-Sang
Lee, Sung-Gyu
Endovascular stenting of the inferior vena cava in a patient with Budd-Chiari syndrome and main hepatic vein thrombosis: a case report
title Endovascular stenting of the inferior vena cava in a patient with Budd-Chiari syndrome and main hepatic vein thrombosis: a case report
title_full Endovascular stenting of the inferior vena cava in a patient with Budd-Chiari syndrome and main hepatic vein thrombosis: a case report
title_fullStr Endovascular stenting of the inferior vena cava in a patient with Budd-Chiari syndrome and main hepatic vein thrombosis: a case report
title_full_unstemmed Endovascular stenting of the inferior vena cava in a patient with Budd-Chiari syndrome and main hepatic vein thrombosis: a case report
title_short Endovascular stenting of the inferior vena cava in a patient with Budd-Chiari syndrome and main hepatic vein thrombosis: a case report
title_sort endovascular stenting of the inferior vena cava in a patient with budd-chiari syndrome and main hepatic vein thrombosis: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4494094/
https://www.ncbi.nlm.nih.gov/pubmed/26155275
http://dx.doi.org/10.14701/kjhbps.2015.19.1.35
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