Endovascular treatment of venous graft stenosis in the inferior vena cava and the left hepatic vein after complex liver tumor resection.
Endovascular treatment has been reported for a variety of conditions that result in venous obstruction in the iliocaval territory. The present report describes a patient who underwent a complex resection of a tumor that infiltrated the retrohepatic segment of the inferior vena cava (IVC), necessitating replacement of the IVC with a polytetrafluoroethylene (PTFE) graft. Postoperatively, symptomatic venous obstruction occurred in the graft and the left hepatic vein. Treatment required stent placement bridging native veins and the graft. The patient underwent placement of a self-expanding stent within the IVC and the PTFE graft with treatment of the hepatic vein stenosis via jugular vein access.
Brechtel
Klaus
K
Department of Interventional and Diagnostic Radiology, University of Tübingen, Hoppe-Seyler-Strasse 3, 72076 Tübingen, Germany. brechtkla@yahoo.com
Tepe
Gunnar
G
Heller
Stephan
S
Schmehl
Joerg
J
Kueper
Markus
M
Claussen
Claus D
CD
Wiskirchen
Jakub
J
D005260:Female; D006083:Graft Occlusion, Vascular / Q000209:etiology* / Q000601:surgery*; D006498:Hepatectomy / Q000009:adverse effects*; D006503:Hepatic Veins; D006801:Humans; D008113:Liver Neoplasms / Q000150:complications* / Q000601:surgery*; D008875:Middle Aged; D015607:Stents; D016896:Treatment Outcome; D014682:Vena Cava, Inferior; D014689:Venous Insufficiency / Q000209:etiology / Q000601:surgery