Single-access liver floss technique with antegrade hepatic vein access and recanalization in Budd-Chiari syndrome

A 14-year-old boy presented with several months of increasing abdominal girth and fatigue. Imaging confirmed massive ascites and hepatic congestion secondary to central hepatic venous obstruction. Several large intrahepatic collateral veins were seen draining via caudate and emissary veins. After an...

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Main Authors: John J. Weaver, Ethan M. Dobrow, Evelyn K. Hsu, Eric J. Monroe
Format: Article
Language:English
Published: Galenos Publishing House 2018-01-01
Series:Diagnostic and Interventional Radiology
Online Access: http://www.dirjournal.org/archives/archive-detail/article-preview/single-access-liver-floss-technique-with-antegrade/55189
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author John J. Weaver
Ethan M. Dobrow
Evelyn K. Hsu
Eric J. Monroe
author_facet John J. Weaver
Ethan M. Dobrow
Evelyn K. Hsu
Eric J. Monroe
author_sort John J. Weaver
collection DOAJ
description A 14-year-old boy presented with several months of increasing abdominal girth and fatigue. Imaging confirmed massive ascites and hepatic congestion secondary to central hepatic venous obstruction. Several large intrahepatic collateral veins were seen draining via caudate and emissary veins. After an unsuccessful attempt at retrograde recanalization utilizing intravascular ultrasound, the right hepatic vein was recanalized in an antegrade fashion by way of a prominent caudate collateral vein, and subsequently stented. We herein discuss the established treatment options for Budd-Chiari syndrome and describe our experience employing a single-access liver floss technique.
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spelling doaj.art-756642e2ad9f43459961e6ea90a8a1b32023-09-06T13:23:37ZengGalenos Publishing HouseDiagnostic and Interventional Radiology1305-38251305-36122018-01-01241384110.5152/dir.2017.1732713049054Single-access liver floss technique with antegrade hepatic vein access and recanalization in Budd-Chiari syndromeJohn J. Weaver0Ethan M. Dobrow1Evelyn K. Hsu2Eric J. Monroe3 Department of Radiology, University of Washington, Seattle, WA, USA. Department of Radiology, University of Washington, Seattle, WA, USA. Department of Radiology, University of Washington, Seattle, WA, USA. Department of Radiology, University of Washington, Seattle, WA, USA. A 14-year-old boy presented with several months of increasing abdominal girth and fatigue. Imaging confirmed massive ascites and hepatic congestion secondary to central hepatic venous obstruction. Several large intrahepatic collateral veins were seen draining via caudate and emissary veins. After an unsuccessful attempt at retrograde recanalization utilizing intravascular ultrasound, the right hepatic vein was recanalized in an antegrade fashion by way of a prominent caudate collateral vein, and subsequently stented. We herein discuss the established treatment options for Budd-Chiari syndrome and describe our experience employing a single-access liver floss technique. http://www.dirjournal.org/archives/archive-detail/article-preview/single-access-liver-floss-technique-with-antegrade/55189
spellingShingle John J. Weaver
Ethan M. Dobrow
Evelyn K. Hsu
Eric J. Monroe
Single-access liver floss technique with antegrade hepatic vein access and recanalization in Budd-Chiari syndrome
Diagnostic and Interventional Radiology
title Single-access liver floss technique with antegrade hepatic vein access and recanalization in Budd-Chiari syndrome
title_full Single-access liver floss technique with antegrade hepatic vein access and recanalization in Budd-Chiari syndrome
title_fullStr Single-access liver floss technique with antegrade hepatic vein access and recanalization in Budd-Chiari syndrome
title_full_unstemmed Single-access liver floss technique with antegrade hepatic vein access and recanalization in Budd-Chiari syndrome
title_short Single-access liver floss technique with antegrade hepatic vein access and recanalization in Budd-Chiari syndrome
title_sort single access liver floss technique with antegrade hepatic vein access and recanalization in budd chiari syndrome
url http://www.dirjournal.org/archives/archive-detail/article-preview/single-access-liver-floss-technique-with-antegrade/55189
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