Endovascular stenting of IVC using Brockenborough's needle in Budd–Chiari syndrome – A case report

Poddar, Pawan; Gurizala, Sudarsana; Rao, S. V. R.

doi:10.1016/j.ihj.2014.03.014

Cited by 8 publications

(9 citation statements)

References 8 publications

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“…Interventional therapy, which is selected for the majority of BCS patients, includes surgical shunts, transjugular intrahepatic portosystemic shunts (TIPS), balloon dilatation angioplasty, and liver transplantation [3][4][5]. Selection of the most suitable treatment option depends on the aetiology of BCS, the location and length of the obstruction, and the physical status of the patient [4]. In our patient, a short obstruction was located within the IVC.…”

Section: Discussionmentioning

confidence: 99%

Successful treatment of Budd-Chiari Syndrome with Balloon Dilatation Angioplasty

Tomita¹,

Nagano²,

Seki³

et al. 2016

JCR

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A 62-year-old woman was admitted because of prolonged jaundice. After examination of contrast enhanced computed tomography images, she was diagnosed with Budd-Chiari syndrome due to a short obstruction of the hepatic portion of the inferior vena cava. She received endovascular angioplasty using a catheter with a balloon 14 mm in diameter. After balloon dilatation angioplasty of the obstructed inferior vena cava, favourable antegrade blood flow was restored. Then, oral warfarin therapy was started to prevent restenosis by thrombus formation. Contrast-enhanced computed tomography images taken four months after treatment revealed no restenosis of the inferior vena cava. This report is significant because it presents an effective and minimally invasive strategy for treating Budd-Chiari syndrome. Balloon dilatation angioplasty should be considered as the first choice of treatment if an obstruction is short and located in the major trunk of the hepatic vein or inferior vena cava.

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Section: Discussionmentioning

confidence: 99%

Successful treatment of Budd-Chiari Syndrome with Balloon Dilatation Angioplasty

Tomita¹,

Nagano²,

Seki³

et al. 2016

JCR

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“…IVC obstruction is prevalent in Asia, Nepal, South Africa, India, and China, whereas pure HVs obstruction predominates in Western countries. 31 This study showed that HVs obstruction was the most common pattern of venous obstruction (80%), combined HVs and IVC obstruction was similar to isolated IVC obstruction and were observed in 10%, while in another Egyptian study by Sakr et al, HVs obstruction, IVC obstruction, and combined HVs and IVC obstruction were found in 43%, 3%, and 21% of patients, respectively. 11 Darwish Murad reported isolated obstruction of HV, IVC, and both veins in 62%, 7%, and 31% of patients, respectively.…”

Section: Dovepressmentioning

confidence: 53%

Epidemiological Characteristics and Etiology of Budd-Chiari Syndrome in Upper Egypt

Hameed¹,

Elbeih²,

El-Aziz³

et al. 2020

JBM

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“…Different balloons were used in literature. The use of Inoue balloon was popularized, for its clear advantages and was used in many cases (Poddar et al 2014 ). We used a Z-Med II balloon (Numed/Braun), regularly available in our cath-lab, with a good result.…”

Section: Discussionmentioning

confidence: 99%

Endovascular treatment of an obstructive membrane between inferior vena cava and right atrium in an unrecognized Budd-Chiari syndrome

et al. 2020

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Background Budd-Chiari syndrome is defined as a hepatic venous outflow track obstruction of various etiology, which appears at different levels. The inferior vena cava outflow membrane is an unusual, but a potentially treatable cause. The percutaneous treatment has emerged as a very promising management mode for such patients. Follow-up results are favorable for balloon angioplasty and/or stenting, with minimal re-stenosis rates. Case presentation We report a case of a young woman, earlier operated on congenital heart defect and with previous pulmonary embolic incident after childbirth, with no evidence of thrombophilia. She was admitted to our institution for a suspected right atrial tumor. After the diagnosis of Budd-Chiari syndrome caused by membranous inferior vena cava obstruction, a percutaneous treatment of a thick membrane was successfully performed, using an unusual technique. Conclusion Balloon angioplasty should be considered in cases of membranous obstruction of vena cava, where a focal obstruction is causing the symptoms. In our patient, the anatomy was not suitable for stenting, and balloon dilatation was successful just after the membrane was pulled apart with a big balloon in a “Rashkind-like” procedure.

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Endovascular stenting of IVC using Brockenborough's needle in Budd–Chiari syndrome – A case report

Cited by 8 publications

References 8 publications

Successful treatment of Budd-Chiari Syndrome with Balloon Dilatation Angioplasty

Successful treatment of Budd-Chiari Syndrome with Balloon Dilatation Angioplasty

Epidemiological Characteristics and Etiology of Budd-Chiari Syndrome in Upper Egypt

Endovascular treatment of an obstructive membrane between inferior vena cava and right atrium in an unrecognized Budd-Chiari syndrome

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