Given the outcome, the decision was made to perform a second procedure with stent implantation. Formerly, this type of occlusion was considered to have a congenital origin.
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We first used a 3-mm CrossSail balloon Guidant Corp. Publication guidelines. At the follow-up over two years later, the patient remains asymptomatic and has not required diuretic treatment. Right-sided follow-up catheterization at 12 months after stent implantation showed no significant restenosis Figure 3C. However, based on findings obtained with new imaging techniques and histological studies, it has been postulated that the membranes are the sequelae of a thrombotic process.
The angiographic study in this patient showed complete membranous occlusion of the inferior vena cava.
Subsequently, balloons of increasing caliber were advanced through the Mullins sheath over the guidewire, dilating the obstruction in successive steps. Percutaneous Recanalization by Angioplasty and Stenting. We were advised to attempt percutaneous recanalization. Magnetic resonance angiography showed total occlusion of the inferior intrahepatic vena cava, immediately above the junction of the suprahepatic veins, which were patent.
November 2004 Next article. Budd-Chiari syndrome is a heterogeneous group of diseases characterized by occlusion of the hepatic veins or the inferior vena cava, producing portal hypertension. Log in.
Via the right femoral approach, the membrane was perforated using a Brockenbrough transseptal needle and a Mullins sheath Cook Europe, Bjaeverskov, Denmark , under fluoroscopic guidance in several views Figure 1B. Images subject to Copyright. A 47-year old man with primary antiphospholipid syndrome and associated Budd-Chiari syndrome was hospitalized several times for abdominal pain, tension ascites, and refractory edema, despite anticoagulant treatment and high doses of furosemide and spironolactone.