Management of idiopathic obstruction of the hepatic and suprahepatic inferior vena cava with a self-expanding metallic stent

Kaul, Upendra; Agarwal, Rajiv; Jain, Pradeep; Sharma, Sanjeev Kumar; Sharma, Sanjiv; Wasir, Harbans S.

doi:10.1002/(sici)1097-0304(199611)39:3<252::aid-ccd9>3.0.co;2-d

Cited by 17 publications

(10 citation statements)

References 26 publications

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“…Park et al (29) reported stent placement in seven patients with benign segmental obstruction of the hepatic IVC and achieved a primary patency rate of 71% (five of seven) after a mean followup of 12 months. Nine of the 10 patients with Budd-Chiari syndrome who were treated by Kaul et al (30) remained symptom free 1-13 months after IVC stent placement. Good clinical outcome of hepatic IVC stent placement was also seen in this series of patients with chronic occlusion of the infrarenal IVC with a primary assisted patency rate of 87% after a mean follow-up of 19 months.…”

Section: Discussionmentioning

confidence: 95%

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Chronically Occluded Inferior Venae Cavae: Endovascular Treatment

et al. 2000

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Section: Discussionmentioning

confidence: 95%

“…Most of these articles are about patients with Budd-Chiari syndrome rather than IVC syndrome, and the chronicity of the process is not well established or reported (26)(27)(28)(29)(30).…”

Section: Discussionmentioning

confidence: 99%

Chronically Occluded Inferior Venae Cavae: Endovascular Treatment

et al. 2000

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“…Stents have revolutionised the endovascular management and to maintain long-term patency of IVC. [21][22][23][24] There is a paucity of studies utilising stents in IVC obstruction especially in chronic setup. Most of the studies were conducted in acute form of the disease.…”

Section: Discussionmentioning

confidence: 99%

Inferior vena cava obstruction: long-term results of endovascular management

Srinivas

Dattatreya

Srinivasa

et al. 2012

Indian Heart Journal

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Background: Hepatic venous outflow obstruction (HVOO) can have acute or chronic presentation.In the chronic variety of inferior vena cava (IVC) obstruction, endovascular management with balloon angioplasty and stent implantation has emerged as a feasible, safe alternative to surgery which has high incidence of mortality and morbidity. Aims and objectives:To study the feasibility and long-term follow-up of endovascular management of chronic IVC obstruction. Methods:We studied 12 cases of HVOO who underwent endovascular management (balloon dilatation ± stenting). In most of the cases, the cause of obstruction was not obvious, but one case had metastatic hepatic nodules compressing on IVC. Diagnosis was established by clinical examination, venous Doppler and was confirmed by venography and/or computed tomography (CT) angiography. Cases underwent balloon dilatation and/or stenting.Results: Out of 12 cases, six had membranous obstruction (four complete and two incomplete), five cases had segmental stenosis and one case had tumour compression. The lesion was crossed with either guide wire or Brockenbrough needle with Mullins sheath assembly and balloon dilatation was done with Inoue or Mansfield balloon. Seven cases underwent balloon dilatation alone while five cases underwent stenting. There was procedural success in all cases with reduction of gradient by 84%, disappearance of collaterals and clinical improvement. During the follow-up of 13 years, one case had restenosis, which was managed by stenting.Conclusion: Endovascular management of IVC obstruction is safe with good long-term patency rates.

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“…Kaul et al [13] reported the cases of 10 patients who had IVC obstruction with unfavorable angiographic characteristics, including total occlusions, restenosis, and suboptimal results with PTA. Kaul et al [13] reported the cases of 10 patients who had IVC obstruction with unfavorable angiographic characteristics, including total occlusions, restenosis, and suboptimal results with PTA.…”

Section: Discussionmentioning

confidence: 99%

Focal elastic obstruction of the inferior vena cava

Helmy

Ware

Patterson

et al. 2000

Cathet. Cardiovasc. Intervent.

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Obstruction of the supra-hepatic inferior vena cava (IVC) is a common cause of hepatic venous hypertension and the most common cause of Budd-Chiari Syndrome. Because most cases of IVC obstruction go undiagnosed until Budd-Chiari Syndrome develops, the natural history of IVC obstruction is not well defined. We report a case of a focal, elastic, non-membranous obstruction of the IVC causing hepatic venous hypertension and elevated serum transaminases in a 36-year-old man. The obstruction was successfully treated with placement of a self-expanding metallic stent with normalization of hepatic transaminases. Cathet. Cardiovasc. Intervent. 51:494 -499, 2000.

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Management of idiopathic obstruction of the hepatic and suprahepatic inferior vena cava with a self-expanding metallic stent

Cited by 17 publications

References 26 publications

Chronically Occluded Inferior Venae Cavae: Endovascular Treatment

Chronically Occluded Inferior Venae Cavae: Endovascular Treatment

Inferior vena cava obstruction: long-term results of endovascular management

Focal elastic obstruction of the inferior vena cava

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