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CardioVascular and Interventional Radiology
Published in: CardioVascular and Interventional Radiology 10/2019

01-10-2019 | Clinical Investigation

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

Authors: Peng-Xu Ding, Xin-Wei Han, Chao Liu, Jia-Yin Ding, Edward Wolfgang Lee

Published in: CardioVascular and Interventional Radiology | Issue 10/2019

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Abstract

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.
Literature
1.
Qi X, Zhang C, Han G, Zhang W, He C, Yin Z, et al. Prevalence of the JAK2V617F mutation in Chinese patients with Budd–Chiari syndrome and portal vein thrombosis: a prospective study. J Gastroenterol Hepatol. 2012;27(6):1036–43.CrossRefPubMed
2.
Okuda H, Yamagata H, Obata H, Iwata H, Sasaki R, Imai F, et al. Epidemiological and clinical features of Budd–Chiari syndrome in Japan. J Hepatol. 1995;22(1):1–9.CrossRefPubMed
3.
Zhou P, Ren J, Han X, Wu G, Zhang W, Ding P, et al. Initial imaging analysis of Budd–Chiari syndrome in Henan province of China: most cases have combined inferior vena cava and hepatic veins involvement. PLoS ONE. 2014;9(1):e85135.CrossRefPubMedPubMedCentral
4.
Wu T, Wang L, Xiao Q, Wang B, Li S, Li X, Zhang J. Percutaneous balloon angioplasty of inferior vena cava in Budd–Chiari syndrome-R1. Int J Cardiol. 2002;83(2):175–8.CrossRefPubMed
5.
Xu K, Feng B, Zhong H, Zhang X, Su H, Li H, et al. Clinical application of interventional techniques in the treatment of Budd–Chiari syndrome. Chin Med J (Engl). 2003;116(4):609–15.
6.
Xue H, Li YC, Shakya P, Palikhe M, Jha RK. The role of intravascular intervention in the management of Budd–Chiari syndrome. Dig Dis Sci. 2010;55(9):2659–63.CrossRefPubMed
7.
Qiao T, Liu CJ, Liu C, Chen K, Zhang XB, Zu MH. Interventional endovascular treatment for Budd–Chiari syndrome with long-term follow-up. Swiss Med Wkly. 2005;135(21–22):318–26.PubMed
8.
Yang XL, Cheng TO, Chen CR. Successful treatment by percutaneous balloon angioplasty of Budd–Chiari syndrome caused by membranous obstruction of inferior vena cava: 8-year follow-up study. J Am Coll Cardiol. 1996;28(7):1720–4.CrossRefPubMed
9.
Han G, Qi X, Zhang W, He C, Yin Z, Wang J, et al. Percutaneous recanalization for Budd–Chiari syndrome: an 11-year retrospective study on patency and survival in 177 Chinese patients from a single center. Radiology. 2013;266(2):657–67.CrossRefPubMed
10.
Huang Q, Shen B, Zhang Q, Xu H, Zu M, Gu Y, et al. Comparison of long-term outcomes of endovascular management for membranous and segmental inferior vena cava obstruction in patients with primary Budd–Chiari Syndrome. Circ Cardiovasc Interv. 2016;9(3):e003104.CrossRefPubMed
11.
Zu MH, Xu H, Gu YM, Zhang QQ, Wei N, Xu W, et al. Treatments of deal with difficult cases and complications during interventional therapy for Budd–Chiari Syndrome: report of 1859 Cases. Chin J Bases Clin Gen Surg. 2014;21(12):1487–94.
12.
Zhou WM, Gao Y, Tang Z, Li XJ, Lu R, Song T, et al. Inferior vena cava rupture and pericardial tamponade in interventional treatment of Budd–Chiari syndrome. Chin J Gen Surg. 2009;24(1):76–7.
13.
Song W, Wang MQ, Zhang DZ, Xiong Z, Zhu C, Zhao BS, et al. The strategy and cause of the Budd Chiari syndrome with interventional treatment appeared cardiac tamponade and inferior vena cava rupture. J Hepatobiliary Surg. 2016;24(4):270–2.
14.
Okuda K. Membranous obstruction of the inferior vena cava (obliterative hepatocavopathy, Okuda). J Gastroenterol Hepatol. 2001;16(11):1179–83.CrossRefPubMed
15.
Kage M, Arakawa M, Kojiro M, Okuda K. Histopathology of membranous obstruction of the inferior vena cava in the Budd–Chiari syndrome. Gastroenterology. 1992;102(6):2081–90.CrossRefPubMed
16.
Wei SY, Dian-Yun GE, Xie JS. Surgical treatment of Budd–Chiari syndrome: summary. Pract J Med Pharm. 2006;23(8):921–2.
17.
Han XW, Ding PX, Wu G. Budd–Chiari Syndrome: the feasibility study of PTA with diameter 30 mm balloon catheter for obstruction of the inferior vena cava. J Interv Radiol. 2008;17(4):243–6.
18.
Xiang J, Zhu Y-Q, Wang Y, Liu M, Mei J, Qu J. A retrospective analysis of different balloon catheters for the treatment of inferior vena cava obstruction. Acta Acad Med Xuzhou. 2004;24(1):22–5.
19.
Meng QY, Sun NF, Wang JX, Wang RH, Liu ZX. Endovascular treatment of Budd–Chiari syndrome. Chin Med J (Engl). 2011;124(20):3289–92.
20.
Ding PX, Li Z, Zhang SJ, Han XW, Wu Y, Wang ZG, et al. Outcome of the Z-expandable metallic stent for Budd–Chiari syndrome and segmental obstruction of the inferior vena cava. Eur J Gastroenterol Hepatol. 2016;28(8):972–9.CrossRefPubMed
21.
Chinese Society of Interventional Radiology. Expert consensus for the diagnosis and interventional treatment of Budd–Chiari syndrome. Chin J Radiol. 2010;44(4):345–9.
Metadata
Title
Inferior Vena Cava Rupture Caused by Balloon Angioplasty During the Treatment of Budd–Chiari Syndrome
Authors
Peng-Xu Ding
Xin-Wei Han
Chao Liu
Jia-Yin Ding
Edward Wolfgang Lee
Publication date
01-10-2019
Publisher
Springer US
Published in
CardioVascular and Interventional Radiology / Issue 10/2019
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-019-02292-9

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