Transhepatic inferior vena cava recanalization in a case of Budd Chiari syndrome: A novel approach
Sharp recanalization for short-segment intravascular occlusion, using an endovascular route, has been described for inferior vena cava (IVC) occlusion. Often, the technical challenge to the endovascular management of Budd-Chiari syndrome (BCS) is the recanalization of the occluded hepatic vein or su...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-11-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043323005885 |
| _version_ | 1797672069740101632 |
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| author | Saurabh Ashok Sujanyal, MBBS Priyansh Parag Shah Joseph Gartrell Willis, MD, MBA Husameddin El Khudari, MD Rakesh K. Varma, MD, FSIR |
| author_facet | Saurabh Ashok Sujanyal, MBBS Priyansh Parag Shah Joseph Gartrell Willis, MD, MBA Husameddin El Khudari, MD Rakesh K. Varma, MD, FSIR |
| author_sort | Saurabh Ashok Sujanyal, MBBS |
| collection | DOAJ |
| description | Sharp recanalization for short-segment intravascular occlusion, using an endovascular route, has been described for inferior vena cava (IVC) occlusion. Often, the technical challenge to the endovascular management of Budd-Chiari syndrome (BCS) is the recanalization of the occluded hepatic vein or suprahepatic IVC. Presented here, the challenge was the level of occlusion of the suprahepatic IVC, with the resultant separation of both the patent IVC segments in a horizontal plane, making it technically challenging for sharp recanalization. We describe the use of percutaneous transhepatic access into the suprahepatic IVC via the middle hepatic vein under ultrasound guidance with eventual sharp recanalization of the occluded segment of the IVC, in a woman with BCS. This novel approach has not been described in the literature and can serve as an important addition to guide complex suprahepatic IVC recanalization. |
| first_indexed | 2024-03-11T21:24:44Z |
| format | Article |
| id | doaj.art-469710dea7bc460092515cee1fb9fc8a |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-03-11T21:24:44Z |
| publishDate | 2023-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-469710dea7bc460092515cee1fb9fc8a2023-09-28T05:25:28ZengElsevierRadiology Case Reports1930-04332023-11-01181141724175Transhepatic inferior vena cava recanalization in a case of Budd Chiari syndrome: A novel approachSaurabh Ashok Sujanyal, MBBS0Priyansh Parag Shah1Joseph Gartrell Willis, MD, MBA2Husameddin El Khudari, MD3Rakesh K. Varma, MD, FSIR4Division of Interventional Radiology, University of Alabama, USA; Corresponding author.Department of Cardiology, Beth Israel Deaconess Medical Center, Boston, USADepartment of Radiology, University of Alabama at Birmingham, Birmingham, Alabama, USADivision of Interventional Radiology, University of Alabama, USADivision of Interventional Radiology, University of Alabama, USASharp recanalization for short-segment intravascular occlusion, using an endovascular route, has been described for inferior vena cava (IVC) occlusion. Often, the technical challenge to the endovascular management of Budd-Chiari syndrome (BCS) is the recanalization of the occluded hepatic vein or suprahepatic IVC. Presented here, the challenge was the level of occlusion of the suprahepatic IVC, with the resultant separation of both the patent IVC segments in a horizontal plane, making it technically challenging for sharp recanalization. We describe the use of percutaneous transhepatic access into the suprahepatic IVC via the middle hepatic vein under ultrasound guidance with eventual sharp recanalization of the occluded segment of the IVC, in a woman with BCS. This novel approach has not been described in the literature and can serve as an important addition to guide complex suprahepatic IVC recanalization.http://www.sciencedirect.com/science/article/pii/S1930043323005885Transhepatic endovascular recanalizationBudd Chiari syndromeInferior vena cava occlusionSharp recanalizationPortal Hypertension |
| spellingShingle | Saurabh Ashok Sujanyal, MBBS Priyansh Parag Shah Joseph Gartrell Willis, MD, MBA Husameddin El Khudari, MD Rakesh K. Varma, MD, FSIR Transhepatic inferior vena cava recanalization in a case of Budd Chiari syndrome: A novel approach Radiology Case Reports Transhepatic endovascular recanalization Budd Chiari syndrome Inferior vena cava occlusion Sharp recanalization Portal Hypertension |
| title | Transhepatic inferior vena cava recanalization in a case of Budd Chiari syndrome: A novel approach |
| title_full | Transhepatic inferior vena cava recanalization in a case of Budd Chiari syndrome: A novel approach |
| title_fullStr | Transhepatic inferior vena cava recanalization in a case of Budd Chiari syndrome: A novel approach |
| title_full_unstemmed | Transhepatic inferior vena cava recanalization in a case of Budd Chiari syndrome: A novel approach |
| title_short | Transhepatic inferior vena cava recanalization in a case of Budd Chiari syndrome: A novel approach |
| title_sort | transhepatic inferior vena cava recanalization in a case of budd chiari syndrome a novel approach |
| topic | Transhepatic endovascular recanalization Budd Chiari syndrome Inferior vena cava occlusion Sharp recanalization Portal Hypertension |
| url | http://www.sciencedirect.com/science/article/pii/S1930043323005885 |
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