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

Author:

Talaie Reza1ORCID,Jalaeian Hamed2,Rostambeigi Nassir3ORCID,Spano Anthony1,Golzarian Jafar1

Affiliation:

1. Division of Vascular and Interventional Radiology, Department of Radiology, University of Minneapolis, MN, USA

2. Department of Interventional Radiology, Miller School of Medicine, University of Miami, Coral Gables, FL, USA

3. Division of Vascular and Interventional Radiology, Washington University, Mallinckrodt Institute of Radiology, St. Louis, MO, USA

Abstract

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.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,General Medicine,Surgery

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