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Stenosis of the suprahepatic inferior vena cava as a complication of transjugular intrahepatic portosystemic shunt in Budd‐Chiari patients
Author(s) -
Turnes Juan,
GarcíaPagán Juan Carlos,
GonzálezAbraldes Juan,
Real Maribel,
Moitinho Eduardo,
Gilabert Rosa,
Escorsell Angels,
Muntanya Xavier,
Ginès Pere,
Bosch Jaume,
Rodés Joan
Publication year - 2001
Publication title -
liver transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.814
H-Index - 150
eISSN - 1527-6473
pISSN - 1527-6465
DOI - 10.1053/jlts.2001.25360
Subject(s) - medicine , budd–chiari syndrome , inferior vena cava , transjugular intrahepatic portosystemic shunt , stenosis , liver transplantation , surgery , radiology , ascites , complication , shunt (medical) , angioplasty , portal hypertension , stent , transplantation , cirrhosis
We report 2 patients with Budd‐Chiari (BC) syndrome secondary to thrombogenic conditions who underwent transjugular intrahepatic portosystemic shunt (TIPS) placement because of refractory ascites and impending liver failure. After TIPS placement, there was marked symptomatic relief and improvement in liver function, but the courses of both patients were complicated by the development of an inferior vena cava (IVC) syndrome caused by segmental stenosis of the suprahepatic IVC just at the outflow jet of the TIPS at 11 and 9 months later. One patient underwent liver transplantation, and the other patient, caval angioplasty and stenting. Stenosis of the IVC represents an unrecognized complication of TIPS in patients with BC syndrome.