Abstract
A 31-year-old man presented with idiopathic membranous obstruction of the suprahepatic inferior vena cava (IVC) and was treated by balloon dilation and placement of a Wallstent. The patient improved markedly. However, he developed obstruction of the hepatic vein outflow secondary to neointima formation over the stent that covered the hepatic vein ostia. The patient died of liver failure and septicemia. We believe that this is the first report of such a serious complication.
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References
Shill M, Henderson JM, Tavill AS (1994) The Budd-Chiari syndrome revisited. Gastroenterologist 2:27–38
Jeans WD, Bourne JT, Read AE (1983) Treatment of hepatic vein and inferior vena caval obstruction by balloon dilatation. Br J Radiol 56:687–689
Sparano J, Chang J (1987) Treatment of the Budd-Chiari syndrome with percutaneous transluminal angioplasty. Am J Med 82:821–828
Yang XL, Cheng TO, Chen CR (1994) Successful treatment by percutaneous balloon transluminal angioplasty of Budd-Chiari syndrome caused by membranous obstruction of the inferior vena cava: 8-year follow-up study. J Am Coll Cardiol 28:1120–1124
Irving JD, Dondelinger RF, Reidy JF, Schild H, Dick R, Adam A, Maynar M, Zollikofer CL (1992) Gianturco self-expanding stents: Clinical experience in the vena cava and large veins. Cardiovasc Intervent Radiol 15:328–333
Roy S, Baijal SS, Rastogi H (1994) Ilio-caval reconstruction with metallic stents. Cathet Cardiovasc Diagn 32:367–371
Venbrux AC, Mitchell SE, Savader SJ, Lund GB, Trerotola SO, Newman JS, Klein AS, Mitchell MC, Rösch J, Uchida BT, Osterman FA (1994) Long-term results with the use of metallic stents in the inferior vena cava for treatment of Budd-Chiari syndrome. J Vase Interv Radiol 5:411–416
Kohli V, Pande GK, Dev V, Reddy KS, Kaul U, Nundy S (1993) Management of hepatic venous outflow obstruction. Lancet 342:718–722
Fischman DL, Savage MP, Léon MB, Schatz RA, Ellis G, Cleman MW, Hirshfeld JW, Teirstein P, Bailey S, Walker CM, Goldberg S (1993) Fate of lesion-related side branches after coronary artery stenting. J Am Coll Cardiol 22:1641–1646
Mazur W, Grincstead WL, Hakim AH, Dabaghi SF, Abukhalid JM, Ali NM, Joseph J, French BA, Raizner AI (1994) Fate of side branches after intracoronary implantation of the Gianturco-Roubin flex-stent for acute or threatened closure after percutaneous transluminal coronary angioplasty. Am J Cardiol 74:1207–1210
Kaul U, Agarwal R, Jain P, Sharma S, Sharma S, Wasir HS (1996) Management of idiopathic obstruction of the hepatic and suprahepatic inferior vena cava with a self-expanding metallic stent. Cathet Cardiovasc Diagn 39:252–257
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Dutta, U., Garg, P.K., Agarwal, R. et al. Blocking of the hepatic vein outflow by neointima covering a wallstent across a membranous stenosis of the inferior vena cava. Cardiovasc Intervent Radiol 22, 521–523 (1999). https://doi.org/10.1007/s002709900444
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DOI: https://doi.org/10.1007/s002709900444