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CardioVascular and Interventional Radiology

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24.07.2019 | Clinical Investigation

Inferior Vena Cava Rupture Caused by Balloon Angioplasty During the Treatment of Budd–Chiari Syndrome

verfasst von: Peng-Xu Ding, Xin-Wei Han, Chao Liu, Jia-Yin Ding, Edward Wolfgang Lee

Erschienen in: CardioVascular and Interventional Radiology | Ausgabe 10/2019

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Abstract

Objective

Percutaneous transluminal balloon angioplasty (PTA) is the main treatment option for Budd–Chiari syndrome (BCS) with inferior vena cava (IVC) obstruction. However, IVC rupture caused by PTA has never been reported.

Materials and Methods

Between August 2004 and December 2016, a consecutive cohort of 617 BCS patients with obstructed IVC who underwent PTA with or without stent placement were reviewed retrospectively to identify IVC rupture. Pre- and post-procedural imaging data, clinical and procedural technical data were analyzed.

Results

Of the 617 BCS patients, five patients had IVC rupture caused by PTA (0.81%). Four of these patients had retroperitoneal, intra-hepatic IVC rupture without extravasation into abdominal cavity which was successfully managed conservatively. One patient had supra-hepatic IVC rupture into the pericardial cavity which was surgically treated.

Conclusion

IVC rupture is a rare complication of PTA treatment of BCS and most commonly located at the intra-hepatic IVC caused by oversized balloons which does not require additional treatment.

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Titel: Inferior Vena Cava Rupture Caused by Balloon Angioplasty During the Treatment of Budd–Chiari Syndrome
verfasst von: Peng-Xu Ding
Xin-Wei Han
Chao Liu
Jia-Yin Ding
Edward Wolfgang Lee
Publikationsdatum: 24.07.2019
Verlag: Springer US
Erschienen in: CardioVascular and Interventional Radiology / Ausgabe 10/2019
Print ISSN: 0174-1551
Elektronische ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-019-02292-9

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Inferior Vena Cava Rupture Caused by Balloon Angioplasty During the Treatment of Budd–Chiari Syndrome

Abstract

Objective

Materials and Methods

Results

Conclusion

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Abstract

Objective

Materials and Methods

Results

Conclusion

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