Collteral loop approach from left to right liver lobe: Endovascular recanalization of a hepatic vein in Budd-Chiari syndrome.
We report the approach to a 29 year old patient presenting with the diagnosis of a Budd-Chiari Syndrome, with clinical deterioration after initial anticoagulation treatment. The patient was proposed to endovascular treatment. Through intra-hepatic shunting seen at angiography, and from a left to right liver lobe, a guide-wire was passed retrogadely and allowed sufficient support to perform hepatic vein angioplasty and stenting. The patient responded favourably and liver transplant was avoided.
Serviço de Imagem Médica do Centro Hospitalar e Universitário de Coimbra, Faculdade de Medicina da Universidade de Coimbra, Medical Imaging Department from University Hospital Center of Coimbra and Faculty of Medicine from University of Coimbra, Portugal.
Francisco
F
Pereira da Silva
Serviço de Imagem Médica do Centro Hospitalar e Universitário de Coimbra, Faculdade de Medicina da Universidade de Coimbra, Medical Imaging Department from University Hospital Center of Coimbra and Faculty of Medicine from University of Coimbra, Portugal.
Paulo
P
Donato
Serviço de Imagem Médica do Centro Hospitalar e Universitário de Coimbra, Faculdade de Medicina da Universidade de Coimbra, Medical Imaging Department from University Hospital Center of Coimbra and Faculty of Medicine from University of Coimbra, Portugal.
Filipe
F
Caseiro-Alves
Angioplasty; Budd-Chiari; Hepatic-vein; Interventional radiology