title: Percutaneous endovascular creation of an inferior vena cava in a patient with caval agenesis, Budd-Chiari syndrome, and iliofemorocaval thrombosis.
abstract: A 29-year-old woman with acute iliofemorocaval thrombosis was discovered to have suprarenal caval agenesis with azygous continuation, hepatic congestion, and fibrosis as a result of chronic Budd-Chiari syndrome. Three staged procedures were performed: pharmacomechanical thrombolysis of acute thromboses, transfemoral liver biopsy and hemodynamic assessment, and percutaneous endovascular creation of a "neocava" lined with endografts. Symptomatic improvement and patency were maintained at 12-week follow-up.
authors.affiliation: Department of Radiology, University of Maryland School of Medicine, 22 S. Greene St., Baltimore, MD 21201. Electronic address: ziv2@mac.com.
authors.forename: Ziv J
authors.initials: ZJ
authors.lastname: Haskal
authors.affiliation: Department of Medicine, University of Maryland School of Medicine, 22 S. Greene St., Baltimore, MD 21201.
authors.forename: Darryn R
authors.initials: DR
authors.lastname: Potosky
authors.affiliation: Department of Pathology, University of Maryland School of Medicine, 22 S. Greene St., Baltimore, MD 21201.
authors.forename: William S
authors.initials: WS
authors.lastname: Twaddell
mesh_terms: D000328:Adult; D015901:Angiography, Digital Subtraction; D001401:Azygos Vein / Q000002:abnormalities; D001706:Biopsy; D019917:Blood Vessel Prosthesis Implantation; D006502:Budd-Chiari Syndrome / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D057510:Endovascular Procedures; D005260:Female; D005268:Femoral Vein / Q000503:physiopathology / Q000601:surgery*; D006439:Hemodynamics; D006801:Humans; D007084:Iliac Vein / Q000503:physiopathology / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D061185:Mechanical Thrombolysis; D010690:Phlebography; D012039:Regional Blood Flow; D016896:Treatment Outcome; D014682:Vena Cava, Inferior / Q000002:abnormalities / Q000503:physiopathology / Q000601:surgery*
keywords: BCS; Budd–Chiari syndrome; DVT; IVC; PENa; PErcutaneous creation of a Neocava; TIPS; deep vein thrombosis; inferior vena cava; transjugular intrahepatic portosystemic shunt