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Percutaneous sharp recanalization of a membranous IVC occlusion with an occlusion balloon as a needle target

A 50-year-old male with right upper quadrant symptoms and hepatic dysfunction was found to have multiple dilated hepatic veins (HVs) with intrahepatic collateralization and membranous occlusion of the intrahepatic inferior vena cava (IVC) consistent with primary Budd–Chiari syndrome. Venacavograms d...

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Autores principales: Rivers-Bowerman, Michael D., Lightfoot, Christopher B., Meagher, Ruairi P., Carter, Michael D., Berry, Robert F.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5551987/
https://www.ncbi.nlm.nih.gov/pubmed/28828121
http://dx.doi.org/10.1016/j.radcr.2017.04.021
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author Rivers-Bowerman, Michael D.
Lightfoot, Christopher B.
Meagher, Ruairi P.
Carter, Michael D.
Berry, Robert F.
author_facet Rivers-Bowerman, Michael D.
Lightfoot, Christopher B.
Meagher, Ruairi P.
Carter, Michael D.
Berry, Robert F.
author_sort Rivers-Bowerman, Michael D.
collection PubMed
description A 50-year-old male with right upper quadrant symptoms and hepatic dysfunction was found to have multiple dilated hepatic veins (HVs) with intrahepatic collateralization and membranous occlusion of the intrahepatic inferior vena cava (IVC) consistent with primary Budd–Chiari syndrome. Venacavograms depicted drainage of the intrahepatic collaterals through a left-sided HV entering the IVC above the level of the occlusion. Sharp recanalization of the membranous IVC occlusion was performed with an occlusion balloon as a needle target under echocardiographic monitoring followed by balloon angioplasty with restoration of IVC patency. Clinical, laboratory, and venographic procedural success has been demonstrated to 9 months with minimal residual stenosis.
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spelling pubmed-55519872017-08-21 Percutaneous sharp recanalization of a membranous IVC occlusion with an occlusion balloon as a needle target Rivers-Bowerman, Michael D. Lightfoot, Christopher B. Meagher, Ruairi P. Carter, Michael D. Berry, Robert F. Radiol Case Rep Case Report A 50-year-old male with right upper quadrant symptoms and hepatic dysfunction was found to have multiple dilated hepatic veins (HVs) with intrahepatic collateralization and membranous occlusion of the intrahepatic inferior vena cava (IVC) consistent with primary Budd–Chiari syndrome. Venacavograms depicted drainage of the intrahepatic collaterals through a left-sided HV entering the IVC above the level of the occlusion. Sharp recanalization of the membranous IVC occlusion was performed with an occlusion balloon as a needle target under echocardiographic monitoring followed by balloon angioplasty with restoration of IVC patency. Clinical, laboratory, and venographic procedural success has been demonstrated to 9 months with minimal residual stenosis. Elsevier 2017-06-07 /pmc/articles/PMC5551987/ /pubmed/28828121 http://dx.doi.org/10.1016/j.radcr.2017.04.021 Text en © 2017 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Rivers-Bowerman, Michael D.
Lightfoot, Christopher B.
Meagher, Ruairi P.
Carter, Michael D.
Berry, Robert F.
Percutaneous sharp recanalization of a membranous IVC occlusion with an occlusion balloon as a needle target
title Percutaneous sharp recanalization of a membranous IVC occlusion with an occlusion balloon as a needle target
title_full Percutaneous sharp recanalization of a membranous IVC occlusion with an occlusion balloon as a needle target
title_fullStr Percutaneous sharp recanalization of a membranous IVC occlusion with an occlusion balloon as a needle target
title_full_unstemmed Percutaneous sharp recanalization of a membranous IVC occlusion with an occlusion balloon as a needle target
title_short Percutaneous sharp recanalization of a membranous IVC occlusion with an occlusion balloon as a needle target
title_sort percutaneous sharp recanalization of a membranous ivc occlusion with an occlusion balloon as a needle target
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5551987/
https://www.ncbi.nlm.nih.gov/pubmed/28828121
http://dx.doi.org/10.1016/j.radcr.2017.04.021
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