How should I treat Budd-Chiari syndrome after liver transplantation with inferior vena cava occlusion?

Saima Karim; Victor Lucas; Anil Verma; Nigel Girgrah; Stephen Ramee; Fausto Castriota; Antonio Micari; Giuseppe Roscitano; Francesco Spinelli; Sameer Gafoor; Abdul Haseeb; Asad Khan; Jennifer Franke; Predrag Matic; Markus Reinartz; Stefan C Bertog; Laura Vaskelyte; Ilona Hofmann; Horst Sievert

doi:10.4244/EIJV12I1A22

How should I treat Budd-Chiari syndrome after liver transplantation with inferior vena cava occlusion?

Saima Karim, Victor Lucas, Anil Verma, Nigel Girgrah, Stephen Ramee, Fausto Castriota, Antonio Micari, Giuseppe Roscitano, Francesco Spinelli, Sameer Gafoor, Abdul Haseeb, Asad Khan, Jennifer Franke, Predrag Matic, Markus Reinartz, Stefan C Bertog, Laura Vaskelyte, Ilona Hofmann, Horst Sievert

Research output: Contribution to journal › Article › peer-review

Abstract

BACKGROUND: A 64-year-old male with Budd-Chiari syndrome (BCS) due to inferior vena cava (IVC) occlusion after liver transplant presented with massive ascites and lower extremity oedema. INVESTIGATION: A computed tomography venogram (CTV) of the abdomen and pelvis was performed after workup including venous ultrasound could not identify the aetiology of the oedema. DIAGNOSIS: The patient was found to have chronic total occlusion (CTO) of the suprahepatic IVC with thrombosis in the hepatic, renal, and iliac veins and the infrahepatic IVC. MANAGEMENT: Venography of the IVC along with catheter directed thrombolysis were performed on the first day. Subsequently, a transseptal needle was used to transverse the occlusion. A snare was used from the IVC to retract a guidewire cranially through the tract. The lesion in the IVC was then dilated and stented with the help of IVUS.

Original language	English (US)
Pages (from-to)	124-128 and 1-3
Journal	EuroIntervention
Volume	12
Issue number	1
DOIs	https://doi.org/10.4244/EIJV12I1A22
State	Published - May 2016

Bibliographical note

Publisher Copyright:
© Europa Digital & Publishing 2016. All rights reserved.

Keywords

Budd-Chiari syndrome
Inferior vena cava occlusion
Inferior vena cava stent placement
Liver transplant
Pedal oedema

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Karim, S., Lucas, V., Verma, A., Girgrah, N., Ramee, S., Castriota, F., Micari, A., Roscitano, G., Spinelli, F., Gafoor, S., Haseeb, A., Khan, A., Franke, J., Matic, P., Reinartz, M., Bertog, S. C., Vaskelyte, L., Hofmann, I., & Sievert, H. (2016). How should I treat Budd-Chiari syndrome after liver transplantation with inferior vena cava occlusion? EuroIntervention, 12(1), 124-128 and 1-3. https://doi.org/10.4244/EIJV12I1A22

Karim, S, Lucas, V, Verma, A, Girgrah, N, Ramee, S, Castriota, F, Micari, A, Roscitano, G, Spinelli, F, Gafoor, S, Haseeb, A, Khan, A, Franke, J, Matic, P, Reinartz, M, Bertog, SC, Vaskelyte, L, Hofmann, I & Sievert, H 2016, 'How should I treat Budd-Chiari syndrome after liver transplantation with inferior vena cava occlusion?', EuroIntervention, vol. 12, no. 1, pp. 124-128 and 1-3. https://doi.org/10.4244/EIJV12I1A22

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title = "How should I treat Budd-Chiari syndrome after liver transplantation with inferior vena cava occlusion?",

abstract = "BACKGROUND: A 64-year-old male with Budd-Chiari syndrome (BCS) due to inferior vena cava (IVC) occlusion after liver transplant presented with massive ascites and lower extremity oedema. INVESTIGATION: A computed tomography venogram (CTV) of the abdomen and pelvis was performed after workup including venous ultrasound could not identify the aetiology of the oedema. DIAGNOSIS: The patient was found to have chronic total occlusion (CTO) of the suprahepatic IVC with thrombosis in the hepatic, renal, and iliac veins and the infrahepatic IVC. MANAGEMENT: Venography of the IVC along with catheter directed thrombolysis were performed on the first day. Subsequently, a transseptal needle was used to transverse the occlusion. A snare was used from the IVC to retract a guidewire cranially through the tract. The lesion in the IVC was then dilated and stented with the help of IVUS.",

keywords = "Budd-Chiari syndrome, Inferior vena cava occlusion, Inferior vena cava stent placement, Liver transplant, Pedal oedema",

author = "Saima Karim and Victor Lucas and Anil Verma and Nigel Girgrah and Stephen Ramee and Fausto Castriota and Antonio Micari and Giuseppe Roscitano and Francesco Spinelli and Sameer Gafoor and Abdul Haseeb and Asad Khan and Jennifer Franke and Predrag Matic and Markus Reinartz and Bertog, {Stefan C} and Laura Vaskelyte and Ilona Hofmann and Horst Sievert",

year = "2016",

month = may,

doi = "10.4244/EIJV12I1A22",

language = "English (US)",

volume = "12",

pages = "124--128 and 1--3",

journal = "EuroIntervention",

issn = "1774-024X",