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Rescue from liver transplantation: TIPSS and thrombectomy successfully treat a case of acute Budd–Chiari syndrome complicated by portal vein thrombosis

We report the rare case of a female who presented with fulminant liver failure secondary to acute Budd–Chiari syndrome and complete portal vein thrombosis. She met the criterion for liver transplant and was transferred to our care for assessment and further management. Transplant was deemed a too-hi...

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Detalles Bibliográficos
Autores principales: Townsend, Sarah A, Karkhanis, Salil, Tripathi, Dhiraj, Mueisan, Paolo, Zia, Zergham, Elsharkawy, Ahmed M
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The British Institute of Radiology 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6159308/
https://www.ncbi.nlm.nih.gov/pubmed/30363345
http://dx.doi.org/10.1259/bjrcr.20160059
Descripción
Sumario:We report the rare case of a female who presented with fulminant liver failure secondary to acute Budd–Chiari syndrome and complete portal vein thrombosis. She met the criterion for liver transplant and was transferred to our care for assessment and further management. Transplant was deemed a too-high risk and so rescue therapy was undertaken using mechanical thrombectomy and transjugular intrahepatic portosystemic shunt insertion to decompress the portal system. The patient made a full recovery. This is a rare case report of a patient meeting liver transplant criteria secondary to acute Budd–Chiari syndrome and complete portal vein thrombosis, which was managed successfully entirely by radiological means; this technique could be used to avoid or act as a bridge to liver transplantation in the future.