Collteral loop approach from left to right liver lobe: Endovascular recanalization of a hepatic vein in Budd-Chiari syndrome

Francisco Pereira da Silva; Paulo Donato; Filipe Caseiro-Alves

doi:10.1016/j.ejro.2016.10.002

Collteral loop approach from left to right liver lobe: Endovascular recanalization of a hepatic vein in Budd-Chiari syndrome

Eur J Radiol Open. 2016 Oct 24:3:251-253. doi: 10.1016/j.ejro.2016.10.002. eCollection 2016.

Authors

Francisco Pereira da Silva¹, Paulo Donato¹, Filipe Caseiro-Alves¹

Affiliation

¹ Serviço de Imagem Médica do Centro Hospitalar e Universitário de Coimbra, Faculdade de Medicina da Universidade de Coimbra, Medical Imaging Department from University Hospital Center of Coimbra and Faculty of Medicine from University of Coimbra, Portugal.

Abstract

We report the approach to a 29 year old patient presenting with the diagnosis of a Budd-Chiari Syndrome, with clinical deterioration after initial anticoagulation treatment. The patient was proposed to endovascular treatment. Through intra-hepatic shunting seen at angiography, and from a left to right liver lobe, a guide-wire was passed retrogadely and allowed sufficient support to perform hepatic vein angioplasty and stenting. The patient responded favourably and liver transplant was avoided.

Keywords: Angioplasty; Budd-Chiari; Hepatic-vein; Interventional radiology.

Publication types

Case Reports