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

Journal Article · Tue Oct 15 04:00:00 EDT 2019 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-019-02292-9· OSTI ID:22970596

Ding, Peng-Xu; Han, Xin-Wei; Liu, Chao ^[1]; Ding, Jia-Yin ^[2]

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1. The First Affiliated Hospital of Zhengzhou University, Department of Intervention (China)
2. Zhengzhou University, Department of Clinical Medicine (China)

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.

• OSTI ID: 22970596
• Journal Information: Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 10 Vol. 42; ISSN 0174-1551; ISSN CAIRDG
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
LIVER
PATIENTS
REVIEWS
RUPTURES
SURGERY
VASCULAR DISEASES
VEINS