title: Stenosis of the suprahepatic inferior vena cava as a complication of transjugular intrahepatic portosystemic shunt in Budd-Chiari patients.
abstract: 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.
authors.affiliation: Hepatic Hemodynamic Laboratory, Liver Unit, Institut de Malaties Digestives, University of Barcelona, Spain.
authors.forename: J
authors.initials: J
authors.lastname: Turnes
authors.forename: J C
authors.initials: JC
authors.lastname: García-Pagán
authors.forename: J
authors.initials: J
authors.lastname: González-Abraldes
authors.forename: M
authors.initials: M
authors.lastname: Real
authors.forename: E
authors.initials: E
authors.lastname: Moitinho
authors.forename: R
authors.initials: R
authors.lastname: Gilabert
authors.forename: A
authors.initials: A
authors.lastname: Escorsell
authors.forename: X
authors.initials: X
authors.lastname: Muntanya
authors.forename: P
authors.initials: P
authors.lastname: Ginès
authors.forename: J
authors.initials: J
authors.lastname: Bosch
authors.forename: J
authors.initials: J
authors.lastname: Rodés
mesh_terms: D000328:Adult; D017130:Angioplasty; D006502:Budd-Chiari Syndrome / Q000601:surgery*; D003251:Constriction, Pathologic; D005260:Female; D006801:Humans; D016031:Liver Transplantation; D008297:Male; D019168:Portasystemic Shunt, Transjugular Intrahepatic / Q000009:adverse effects*; D015607:Stents; D014682:Vena Cava, Inferior / Q000473:pathology*