Stenosis of the suprahepatic inferior vena cava as a complication of transjugular intrahepatic portosystemic shunt in Budd-Chiari patients
| Autor: | Xavier Muntanyá, Juan Turnes, Juan Carlos García-Pagán, Angels Escorsell, Joan Rodés, Pere Ginès, Maribel Real, Jaume Bosch, Eduardo Moitinho, Rosa Gilabert, Juan González-Abraldes |
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| Rok vydání: | 2001 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Vena Cava Inferior Constriction Pathologic Liver transplantation Budd-Chiari Syndrome Inferior vena cava Angioplasty medicine Humans Transplantation Hepatology business.industry medicine.disease Symptomatic relief Liver Transplantation Stenosis medicine.vein cardiovascular system Surgery Female Stents Radiology Liver function Portasystemic Shunt Transjugular Intrahepatic Complication business Transjugular intrahepatic portosystemic shunt |
| Zdroj: | Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society. 7(7) |
| ISSN: | 1527-6465 |
| Popis: | We report 2 patients with Budd-Chiari (BC) syndrome secondary to thrombogenic conditions who underwent transjugular intrahepatic portosystemic shunt (TIPS) placement because of refractory ascites and impending liver failure. After TIPS placement, there was marked symptomatic relief and improvement in liver function, but the courses of both patients were complicated by the development of an inferior vena cava (IVC) syndrome caused by segmental stenosis of the suprahepatic IVC just at the outflow jet of the TIPS at 11 and 9 months later. One patient underwent liver transplantation, and the other patient, caval angioplasty and stenting. Stenosis of the IVC represents an unrecognized complication of TIPS in patients with BC syndrome. |
| Databáze: | OpenAIRE |
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