Percutaneous sharp recanalization of a membranous IVC occlusion with an occlusion balloon as a needle target
A 50-year-old male with right upper quadrant symptoms and hepatic dysfunction was found to have multiple dilated hepatic veins (HVs) with intrahepatic collateralization and membranous occlusion of the intrahepatic inferior vena cava (IVC) consistent with primary Budd–Chiari syndrome. Venacavograms d...
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| Format: | Article |
| Language: | English |
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Elsevier
2017-09-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043317300511 |
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| author | Michael D. Rivers-Bowerman, MD, MSc, FRCPC Christopher B. Lightfoot, MD, FRCPC Ruairi P. Meagher, MD, FRCPC Michael D. Carter, MD, PhD Robert F. Berry, MD, FRCPC |
| author_facet | Michael D. Rivers-Bowerman, MD, MSc, FRCPC Christopher B. Lightfoot, MD, FRCPC Ruairi P. Meagher, MD, FRCPC Michael D. Carter, MD, PhD Robert F. Berry, MD, FRCPC |
| author_sort | Michael D. Rivers-Bowerman, MD, MSc, FRCPC |
| collection | DOAJ |
| description | A 50-year-old male with right upper quadrant symptoms and hepatic dysfunction was found to have multiple dilated hepatic veins (HVs) with intrahepatic collateralization and membranous occlusion of the intrahepatic inferior vena cava (IVC) consistent with primary Budd–Chiari syndrome. Venacavograms depicted drainage of the intrahepatic collaterals through a left-sided HV entering the IVC above the level of the occlusion. Sharp recanalization of the membranous IVC occlusion was performed with an occlusion balloon as a needle target under echocardiographic monitoring followed by balloon angioplasty with restoration of IVC patency. Clinical, laboratory, and venographic procedural success has been demonstrated to 9 months with minimal residual stenosis. |
| first_indexed | 2024-12-12T07:29:12Z |
| format | Article |
| id | doaj.art-7f17c31e869540bfbfef3f8142c01550 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-12-12T07:29:12Z |
| publishDate | 2017-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-7f17c31e869540bfbfef3f8142c015502022-12-22T00:33:03ZengElsevierRadiology Case Reports1930-04332017-09-0112353754110.1016/j.radcr.2017.04.021Percutaneous sharp recanalization of a membranous IVC occlusion with an occlusion balloon as a needle targetMichael D. Rivers-Bowerman, MD, MSc, FRCPC0Christopher B. Lightfoot, MD, FRCPC1Ruairi P. Meagher, MD, FRCPC2Michael D. Carter, MD, PhD3Robert F. Berry, MD, FRCPC4Division of Vascular and Interventional Radiology, Department of Medical Imaging, Toronto General Hospital, University Health Network/University of Toronto, 585 University Avenue, Toronto, Ontario M5G 2N2, CanadaDivision of Interventional Radiology, Department of Diagnostic Radiology, Queen Elizabeth II Health Sciences Centre, Dalhousie University, Victoria General Hospital, Halifax, NS B3H 2Y9, CanadaDepartment of Radiology, University of Montreal Health Center, Notre-Dame Hospital, Montreal, QC H2L 4M1, CanadaDivision of Anatomical Pathology, Department of Pathology, Queen Elizabeth II Health Sciences Centre, Dalhousie University, Halifax, NS B3H 2Y9, CanadaDivision of Interventional Radiology, Department of Diagnostic Radiology, Queen Elizabeth II Health Sciences Centre, Dalhousie University, Victoria General Hospital, Halifax, NS B3H 2Y9, CanadaA 50-year-old male with right upper quadrant symptoms and hepatic dysfunction was found to have multiple dilated hepatic veins (HVs) with intrahepatic collateralization and membranous occlusion of the intrahepatic inferior vena cava (IVC) consistent with primary Budd–Chiari syndrome. Venacavograms depicted drainage of the intrahepatic collaterals through a left-sided HV entering the IVC above the level of the occlusion. Sharp recanalization of the membranous IVC occlusion was performed with an occlusion balloon as a needle target under echocardiographic monitoring followed by balloon angioplasty with restoration of IVC patency. Clinical, laboratory, and venographic procedural success has been demonstrated to 9 months with minimal residual stenosis.http://www.sciencedirect.com/science/article/pii/S1930043317300511Sharp recanalizationMembranous IVC occlusion |
| spellingShingle | Michael D. Rivers-Bowerman, MD, MSc, FRCPC Christopher B. Lightfoot, MD, FRCPC Ruairi P. Meagher, MD, FRCPC Michael D. Carter, MD, PhD Robert F. Berry, MD, FRCPC Percutaneous sharp recanalization of a membranous IVC occlusion with an occlusion balloon as a needle target Radiology Case Reports Sharp recanalization Membranous IVC occlusion |
| title | Percutaneous sharp recanalization of a membranous IVC occlusion with an occlusion balloon as a needle target |
| title_full | Percutaneous sharp recanalization of a membranous IVC occlusion with an occlusion balloon as a needle target |
| title_fullStr | Percutaneous sharp recanalization of a membranous IVC occlusion with an occlusion balloon as a needle target |
| title_full_unstemmed | Percutaneous sharp recanalization of a membranous IVC occlusion with an occlusion balloon as a needle target |
| title_short | Percutaneous sharp recanalization of a membranous IVC occlusion with an occlusion balloon as a needle target |
| title_sort | percutaneous sharp recanalization of a membranous ivc occlusion with an occlusion balloon as a needle target |
| topic | Sharp recanalization Membranous IVC occlusion |
| url | http://www.sciencedirect.com/science/article/pii/S1930043317300511 |
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