[Budd-Chiari syndrome with complete occlusion of the inferior vena cava: percutaneous recanalization by angioplasty and stenting].
A 47-year-old man was diagnosed with primary antiphospholipid syndrome and Budd-Chiari syndrome (membranous complete obstruction of the intrahepatic inferior vena cava), with edema and ascites refractory to medical treatment. The inferior vena cava membrane was punctured with a Brockenbrough needle under multidirectional fluoroscopic guidance via a transfemoral approach. The occlusion was dilated with balloons of increasing size and was subsequently stented successfully. At 1-year follow-up venography showed patency of the stent, and the patient remains asymptomatic 2 years after the procedure.
Sánchez-Recalde
Angel
A
Unidad Médico-Quirúrgica de Cardiología, Hospital Universitario La Paz, Madrid, Spain. recalde@secardiologia.es
Sobrino
Nicolás
N
Galeote
Guillermo
G
Calvo Orbe
Luis
L
Merino
José L
JL
Sobrino
José A
JA
D000792:Angiography / Q000379:methods; D015906:Angioplasty, Balloon, Coronary; D006502:Budd-Chiari Syndrome / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging* / Q000473:pathology