ISSN 1305-3825 | E-ISSN 1305-3612
Interventional Radiology - Technical Note
Single-access liver floss technique with antegrade hepatic vein access and recanalization in Budd-Chiari syndrome
1 Department of Radiology, Seattle Children’s Hospital, Seattle, WA, USA; Department of Radiology, University of Washington, Seattle, WA, USA  
2 Department of Radiology, University of Washington, Seattle, WA, USA.  
3 Department of Gastroenterology and Hepatology, Seattle Children’s Hospital, Seattle, WA, USA.  
Diagn Interv Radiol ; : -
DOI: 10.5152/dir.2017.17327
Abstract

A 14-year-old boy presented with several months of increasing abdominal girth and fatigue. Imaging confirmed massive ascites and hepatic congestion secondary to central hepatic venous obstruction. Several large intrahepatic collateral veins were seen draining via caudate and emissary veins. After an unsuccessful attempt at retrograde recanalization utilizing intravascular ultrasound, the right hepatic vein was recanalized in an antegrade fashion by way of a prominent caudate collateral vein, and subsequently stented. We herein discuss the established treatment options for Budd-Chiari syndrome and describe our experience employing a single-access liver floss technique.

 

You may cite this article as: Weaver JJ, Dobrow EM, Hsu EK, Monroe EJ. Single-access liver floss technique with antegrade hepatic vein access and recanalization in Budd-Chiari syndrome. Diagn Interv Radiol 2017; 23: DOI 10.5152/dir.2017.17327.

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