Percutaneous Transluminal Angioplasty for Complete Membranous Obstruction of Suprahepatic Inferior Vena Cava: Long-Term Results

Küçükay, Fahrettin; Akdoğan, Meral; Bostancı, Erdal Birol; Ulus, A. Tulga; Küçükay, Murat Bülent

doi:10.1007/s00270-016-1394-2

Cited by 8 publications

(5 citation statements)

References 20 publications

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“…Membranous occlusion of veins is rare and mostly reported in the suprahepatic inferior vena cava (IVC), resulting in hepatic venous outflow obstruction. Angioplasty by balloon dilations can be a safe and effective treatment for membranous occlusion of IVC (5)(6)(7)(8). Our patient was also relieved by balloon dilation of SCV and recovered successfully.…”

Section: Introductionsupporting

confidence: 50%

“…Concerning the treatment, many studies have shown that angioplasty has excellent immediate and late efficacy in treating membranous obstruction of the IVC (MOVC) (5)(6)(7)(8). A few surgical techniques also exist, but they are less exploited because of the superiority of endovascular treatment for its noninvasive nature and lower morbidity- mortality rates.…”

Section: Discussionmentioning

confidence: 99%

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A case report of membranous occlusion of the subclavian vein: a rare cause of McCleery syndrome

Yin¹,

Zhang²,

Chen³

et al. 2021

Ann Transl Med

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Patients presenting with periodic swelling of the upper extremity without thrombosis are diagnosed with McCleery syndrome. There have been sporadic cases reported over the past decades. Due to the rarity of this disease, no standard consensus on diagnosis and treatment of McCleery syndrome was established. Subclavius tendon and anterior scalene muscle compression were proposed as the primary cause of McCleery syndrome. Partial resecting muscle, tendon or ligament was recommended as therapies. We report one rare case of membranous occlusion of the subclavian vein (SCV) that leads to periodic swelling of upper extremity and diagnosis of McCleery syndrome was made. This 21-year-old man complained of swelling and pain in the right upper extremity after strenuous exercise lasting for 3 months. Physical examination, spinal X-ray and magnetic resonance imaging showed no signs related to classic venous thoracic outlet syndrome (VTOS). Duplex ultrasonography demonstrated membranous occlusion without thrombosis at the proximal end of the right SCV. The lesion was confirmed by venography. Treated by balloon dilation alone, the patient recovered uneventfully during 18 months of follow-up. Repeated duplex ultrasonography revealed patency of the SCV. To our best knowledge, our case provides the first reported membranous occlusion of the SCV. Excluding the presence of thrombosis in SCV, he was diagnosed with McCleery syndrome and was cured by balloon dilation alone. We can learn from this rare case that membranous occlusion of veins can be a rare cause of McCleery syndrome and is worthy of careful consideration and differentiation of VOTS.

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Section: Introductionsupporting

confidence: 50%

Section: Discussionmentioning

confidence: 99%

A case report of membranous occlusion of the subclavian vein: a rare cause of McCleery syndrome

Yin¹,

Zhang²,

Chen³

et al. 2021

Ann Transl Med

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“…Patients were consecutively admitted in 57 (80.28%) studies 9 , 12 , 14 – 25 , 28 , 30 – 39 , 41 – 45 , 47 – 57 , 59 , 64 , 66 , 68 , 70 – 75 , 78 – 83 . Fifty one (71.83%) studies were considered to be of high-quality 9 , 12 , 14 , 16 – 19 , 21 – 23 , 25 , 26 , 31 – 34 , 39 , 41 – 43 , 45 – 47 , 49 – 56 , 58 , 59 , 61 – 64 , 66 – 68 , 70 – 75 , 78 – 83 and six (8.45%) studies were of poor-quality 13 , 15 , 29 , 65 , 76 , 77 . The site of obstruction was clearly reported in 53 (75.7%) studies (Table 1 ).…”

Section: Resultsmentioning

confidence: 99%

Evaluation of outcome from endovascular therapy for Budd-Chiari syndrome: a systematic review and meta-analysis

Mukhiya

Zhou

Han

et al. 2022

Sci Rep

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This study was performed to evaluate the outcome of endovascular intervention therapy for Budd-Chiari syndrome (BCS) and compare recanalization, transjugular intrahepatic portosystemic shunt (TIPS)/direct intrahepatic portosystemic shunt (DIPS), and combined procedure treatment. For the meta-analysis, 71 studies were identified by searching four databases. The individual studies’ samples were used to calculate a confidence interval (CI 95%), and data were pooled using a fixed-effect model and random effect model. The pooled measure and an equal-weighted average rate were calculated in all participant studies. Heterogeneity between the studies was assessed with I2, and T2 tests, and publication bias was estimated using Egger’s regression test. A total of 4,407 BCS patients had undergone an endovascular intervention procedure. The pooled results were 98.9% (95% CI 97.8‒98.9%) for a technical success operation, and 96.9% (95% CI 94.9‒98.9%) for a clinical success operation. The re-intervention rate after the initial intervention procedure was 18.9% (95% CI 14.7‒22.9%), and the survival rates at 1 and 5 years after the initial intervention procedure were 98.9% (95% CI 96.8‒98.9%) and 94.9% (95% CI 92.9‒96.9%), respectively. Patients receiving recanalization treatment (98%) had a better prognosis than those with a combined procedure (95.6%) and TIPS/DIPS treatment (94.5%). The systematic review and meta-analysis further solidify the role of endovascular intervention treatment in BCS as safe and effective. It maintains high technical and clinical success and long-term survival rates. The recanalization treatment had a better prognosis and outcome than the combined procedures and TIPS/DIPS treatment.

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“…In this case, PTA, which is the first-line treatment for stenosis of the hepatic portion of the IVC due to its high efficacy and safety, was performed ( 3 , 17 - 19 ). Restenosis was observed at three months after PTA ( Fig.…”

Section: Discussionmentioning

confidence: 99%

Budd-Chiari Syndrome during Long-term Follow-up after Allogeneic Umbilical Cord Blood Transplantation

et al. 2022

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A series of abdominal computed tomography scans of an asymptomatic 40-year-old woman with a history of umbilical cord blood transplantation (CBT) for leukemia at 19 years old revealed the long-term gradual development of a right hepatic vein thrombus and stenosis of the inferior vena cava, leading to a diagnosis of Budd-Chiari syndrome. The Budd-Chiari syndrome in this case might have been influenced by the patient's history of multiple liver abscesses after CBT and associated thrombus formation, in addition to the hormone replacement therapy with estradiol and dydrogesterone she was taking. This case provides insight into the development of Budd-Chiari syndrome.

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Percutaneous Transluminal Angioplasty for Complete Membranous Obstruction of Suprahepatic Inferior Vena Cava: Long-Term Results

Abstract: Percutaneous transluminal angioplasty for a complete membranous obstruction of the suprahepatic inferior vena cava is safe and effective, and the long-term results are excellent.

Cited by 8 publications

References 20 publications

A case report of membranous occlusion of the subclavian vein: a rare cause of McCleery syndrome

A case report of membranous occlusion of the subclavian vein: a rare cause of McCleery syndrome

Evaluation of outcome from endovascular therapy for Budd-Chiari syndrome: a systematic review and meta-analysis

Budd-Chiari Syndrome during Long-term Follow-up after Allogeneic Umbilical Cord Blood Transplantation

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