ArticleJournal of vascular surgery cases and innovative techniques2026
Endovascular stenting of chronic retrohepatic inferior vena cava interruption in Budd-Chiari syndrome.
Article in Journal of vascular surgery cases and innovative techniques, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Budd-Chiari syndrome is a rare cause of hepatic venous outflow obstruction, with heterogenous etiologies. We report the case of a 35-year-old man with chronic, compensated Budd-Chiari syndrome due to retrohepatic inferior vena cava (IVC) occlusion, likely resulting from early-life thrombosis. Imaging and venography confirmed a 3-cm IVC interruption with extensive alternative venous drainage. Endovascular recanalization, balloon venoplasty, and stent placement successfully restored hepatic venous outflow, leading to improvement in hepatic congestion and complete resolution of symptoms. This case highlights the importance of advanced imaging in diagnosing chronic thrombotic occlusion and demonstrates that preserved hepatic venous drainage from chronic venous rerouting may allow successful IVC recanalization/stenting without the need for transjugular intrahepatic portosystemic shunt placement.
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