E-ISSN: 1305-3612
Single-access liver floss technique with antegrade hepatic vein access and recanalization in Budd-Chiari syndrome
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Interventional Radiology - Technical Note
VOLUME: 24 ISSUE: 1
P: 38-41
January 2018

Single-access liver floss technique with antegrade hepatic vein access and recanalization in Budd-Chiari syndrome

Diagn Interv Radiol 2018;24(1):38-41
DOI: 10.5152/dir.2017.17327
John J. Weaver
Ethan M. Dobrow
Evelyn K. Hsu
Eric J. Monroe
1. Department of Radiology, University of Washington, Seattle, WA, USA.
No information available.
No information available
Received Date: 22.08.2017
Accepted Date: 10.10.2017
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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.