Recanalization and Reconstruction of a Chronically Occluded Inferior Vena Cava Through an Existing Transjugular Intrahepatic Portosystemic Shunt in the Setting of Budd-Chiari Syndrome

Reza Talaie, Hamed Jalaeian, Nassir Rostambeigi, Anthony Spano, Jafar Golzarian

Research output: Contribution to journalArticlepeer-review

Abstract

Budd-Chiari syndrome (BCS) results from the occlusion or flow reduction in the hepatic veins or inferior vena cava and can be treated with transjugular intrahepatic portosystemic shunt when hepatic vein recanalization fails.1-3 Hypercoagulable patients with primary BCS are predisposed to development of new areas of thrombosis within the TIPS shunt or IVC. This case details a patient with BCS, pre-existing TIPS extending to the right atrium, and chronic retrohepatic IVC thrombosis who underwent sharp recanalization of the IVC with stenting into the TIPS stent bridging the patient until his subsequent hepatic transplantation.

Original languageEnglish (US)
Pages (from-to)529-533
Number of pages5
JournalVascular and Endovascular Surgery
Volume55
Issue number5
DOIs
StatePublished - Jul 2021
Externally publishedYes

Bibliographical note

Publisher Copyright:
© The Author(s) 2021.

Keywords

  • Budd-chiari
  • IVC recanalization
  • IVC thrombosis
  • TIPS

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