Fracture of inferior vena cava stent after endovascular treatment for Budd-Chiari syndrome : A case series and literature review
© 2023 Shanghai Journal of Interventional Radiology Press. Publishing services by Elsevier B.V. on behalf of KeAi Communications Co. Ltd..
Budd-Chiari syndrome (BCS) is a rare condition characterized by hepatic venous outflow obstruction. Balloon angioplasty, with or without stenting, is the recommended first-line treatment modality in Asian countries. As a supplement to balloon angioplasty, expandable metallic Z-stent deployment can effectively improve long-term inferior vena cava (IVC) patency. Although stent placement is a standard and frequently performed treatment, very few IVC stent-related complications, such as stent fractures, have been reported. Here we present a case series and a comprehensive review of IVC stent fractures in patients with BCS. The most common characteristic of IVC stent fractures is a protrusion of the proximal segment of the IVC stent into the right atrium and its systolic and diastolic movements along with heart rhythms. Accurate stent deployment, large-diameter balloon dilation, patient breath-holding training, preferential selection of a triple stent, and the use of an internal jugular vein approach to stent deployment may ensure precise stent localization and avoid postoperative complications.
Medienart: |
E-Artikel |
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Erscheinungsjahr: |
2023 |
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Erschienen: |
2023 |
Enthalten in: |
Zur Gesamtaufnahme - volume:6 |
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Enthalten in: |
Journal of interventional medicine - 6(2023), 2 vom: 09. Mai, Seite 99-102 |
Sprache: |
Englisch |
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Beteiligte Personen: |
Ding, Pengxu [VerfasserIn] |
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Links: |
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Themen: |
Angioplasty |
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Anmerkungen: |
Date Revised 18.07.2023 published: Electronic-eCollection Citation Status PubMed-not-MEDLINE |
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doi: |
10.1016/j.jimed.2023.04.004 |
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funding: |
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Förderinstitution / Projekttitel: |
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PPN (Katalog-ID): |
NLM359102093 |
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520 | |a Budd-Chiari syndrome (BCS) is a rare condition characterized by hepatic venous outflow obstruction. Balloon angioplasty, with or without stenting, is the recommended first-line treatment modality in Asian countries. As a supplement to balloon angioplasty, expandable metallic Z-stent deployment can effectively improve long-term inferior vena cava (IVC) patency. Although stent placement is a standard and frequently performed treatment, very few IVC stent-related complications, such as stent fractures, have been reported. Here we present a case series and a comprehensive review of IVC stent fractures in patients with BCS. The most common characteristic of IVC stent fractures is a protrusion of the proximal segment of the IVC stent into the right atrium and its systolic and diastolic movements along with heart rhythms. Accurate stent deployment, large-diameter balloon dilation, patient breath-holding training, preferential selection of a triple stent, and the use of an internal jugular vein approach to stent deployment may ensure precise stent localization and avoid postoperative complications | ||
650 | 4 | |a Case Reports | |
650 | 4 | |a Angioplasty | |
650 | 4 | |a Budd-Chiari syndrome | |
650 | 4 | |a Fracture | |
650 | 4 | |a Inferior vena cava | |
650 | 4 | |a Stenting | |
700 | 1 | |a Zhou, Wen |e verfasserin |4 aut | |
700 | 1 | |a Ding, Jiayin |e verfasserin |4 aut | |
700 | 1 | |a Shui, Shaofeng |e verfasserin |4 aut | |
700 | 1 | |a Xu, Luo |e verfasserin |4 aut | |
700 | 1 | |a Lee, Edward Wolfgang |e verfasserin |4 aut | |
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