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

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:6

Enthalten in:

Journal of interventional medicine - 6(2023), 2 vom: 09. Mai, Seite 99-102

Sprache:

Englisch

Beteiligte Personen:

Ding, Pengxu [VerfasserIn]
Zhou, Wen [VerfasserIn]
Ding, Jiayin [VerfasserIn]
Shui, Shaofeng [VerfasserIn]
Xu, Luo [VerfasserIn]
Lee, Edward Wolfgang [VerfasserIn]

Links:

Volltext

Themen:

Angioplasty
Budd-Chiari syndrome
Case Reports
Fracture
Inferior vena cava
Stenting

Anmerkungen:

Date Revised 18.07.2023

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.1016/j.jimed.2023.04.004

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM359102093