PDF herunterladen
CC BY 4.0 · Journal of Clinical Interventional Radiology ISVIR
DOI: 10.1055/s-0044-1795144
Case Report

Sharp Recanalization of the Hepatic Vein Using a Chiba Needle in Budd–Chiari Syndrome

Ranjan Kumar Patel 
1   Department of Radiodiagnosis, All India Institute of Medical Sciences, Bhubaneswar, India
,
Taraprasad Tripathy 
1   Department of Radiodiagnosis, All India Institute of Medical Sciences, Bhubaneswar, India
,
Srikant Behera
2   Department of Medicine, All India Institute of Medical Sciences, Bhubaneswar, India
,
Rakesh Kumar Mohapatra
2   Department of Medicine, All India Institute of Medical Sciences, Bhubaneswar, India
,
Aditi Kumar
3   Department of Pediatrics, All India Institute of Medical Sciences, Bhubaneswar, India
› Institutsangaben Funding None.
› Weitere Informationen
Auch verfügbar auf
   Lizenzen und Reprints

Abstract

Hepatic vein recanalization in Budd–Chiari syndrome may require procedural modification if the endovascular approach fails. Sharp recanalization using the stiff end of a guidewire or a thin Chiba needle remains an effective technique in difficult-to-cross hepatic vein stricture. Of note, this technique requires utmost precaution to avoid catastrophic hemorrhage. The present case describes the successful recanalization of the middle hepatic vein using a 21-gauge Chiba needle through the percutaneous transhepatic route.

Keywords

sharp recanalization - Budd–Chiari syndrome - Chiba needle

Informed Consent

Informed consent was obtained from the patient's parents for publication of this case report and accompanying images.




Publikationsverlauf

Artikel online veröffentlicht:
27. Dezember 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 

  • References

  • 1 Mukund A, Mittal K, Mondal A, Sarin SK. Anatomic recanalization of hepatic vein and inferior vena cava versus direct intrahepatic portosystemic shunt creation in Budd-Chiari syndrome: overall outcome and midterm transplant-free survival. J Vasc Interv Radiol 2018; 29 (06) 790-799
    CrossrefPubMedSuche in Google Scholar
  • 2 Xia FF, Ni CF, Zu MH. Percutaneous recanalization in hepatic vein-type Budd-Chiari syndrome: hepatic or accessory hepatic vein. Minim Invasive Ther Allied Technol 2023; 32 (01) 18-23
    CrossrefPubMedSuche in Google Scholar
  • 3 Chen B, Lin R, Dai H. et al. Sharp recanalization for treatment of central venous occlusive disease in hemodialysis patients. J Vasc Surg Venous Lymphat Disord 2022; 10 (02) 306-312
    CrossrefPubMedSuche in Google Scholar
  • 4 Rivers-Bowerman MD, Lightfoot CB, Meagher RP, Carter MD, Berry RF. Percutaneous sharp recanalization of a membranous IVC occlusion with an occlusion balloon as a needle target. Radiol Case Rep 2017; 12 (03) 537-541
    CrossrefPubMedSuche in Google Scholar
  • 5 Sujanyal SA, Shah PP, Willis JG, El Khudari H, Varma RK. Transhepatic inferior vena cava recanalization in a case of Budd Chiari syndrome: a novel approach. Radiol Case Rep 2023; 18 (11) 4172-4175
    CrossrefPubMedSuche in Google Scholar