CardioVascular and Interventional Radiology

, Volume 33, Issue 1, pp 205–208 | Cite as

Posttransplant Complex Inferior Venacava Balloon Dilatation After Hepatic Vein Stenting

  • Vikas Kohli
  • Manav Wadhawan
  • Subhash Gupta
  • Vipul Roy
Case Report

Abstract

Orthotopic and living related liver transplantation is an established mode of treatment of end-stage liver disease. One of the major causes of postoperative complications is vascular anastomotic stenosis. One such set of such complications relates to hepatic vein, inferior vena cava (IVC), or portal vein stenosis, with a reported incidence of 1–3%. The incidence of vascular complications is reported to be higher in living donor versus cadaveric liver transplants. We encountered a patient with hepatic venous outflow tract obstruction, where the hepatic vein had been previously stented, but the patient continued to have symptoms due to additional IVC obstruction. The patient required double-balloon dilatation of the IVC simultaneously from the internal jugular vein and IVC.

Keywords

Liver transplant Hepatic vein stenosis Inferior vena cava stenosis Poststent Restent 

References

  1. 1.
    Guimarães M, Uflacker R, Schönholz C, Hannegan C, Selby JB (2005) Stent migration complicating treatment of inferior vena cava stenosis after orthotopic liver transplantation. J Vasc Interv Radiol 16(9):1247–1252PubMedGoogle Scholar
  2. 2.
    Karakayali H, Boyvat F, Coskun M, Isıklar I, Sözen H, Filik L, Yilmaz U, Gür G, Haberal M (2006) Venous complications after orthotopic liver transplantation. Transpl Proc 38(2):604–606CrossRefGoogle Scholar
  3. 3.
    Simó G, Echenagusia A, Camúñez F, Quevedo P, Calleja IJ, Ferreiroa JP, Bañares R (1995) Stenosis of the inferior vena cava after liver transplantation: treatment with Gianturco expandable metallic stents. Cardiovasc Interv Radiol 18(4):212–216CrossRefGoogle Scholar
  4. 4.
    Yamagiwa K, Yokoi H, Isaji S, Tabata M, Mizuno S, Hori T, Yamakado K, Uemoto S, Takeda K (2004) Intrahepatic hepatic vein stenosis after living-related liver transplantation treated by insertion of an expandable metallic stent. Am J Transplant 4(6):1006–1009CrossRefPubMedGoogle Scholar
  5. 5.
    Carnevale FC, Borges MV, Pinto RA, Oliva JL, Andrade Wde C, Maksoud JG (2004) Endovascular treatment of stenosis between hepatic vein and inferior vena cava following liver transplantation in a child: a case report. Pediatr Transpl 8(6):576–580CrossRefGoogle Scholar
  6. 6.
    Berger H, Hilbertz T, Zühlke K, Forst H, Pratschke E (1993) Balloon dilatation and stent placement of suprahepatic caval anastomotic stenosis following liver transplantation. Cardiovasc Interv Radiol 16(6):384–387CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2009

Authors and Affiliations

  • Vikas Kohli
    • 1
  • Manav Wadhawan
    • 2
  • Subhash Gupta
    • 3
  • Vipul Roy
    • 4
  1. 1.Pediatric Cardiology and Congenital Cardiac Surgery UnitIndraprastha Apollo HospitalNew DelhiIndia
  2. 2.Department of Gastroenterology and HepatologyIndraprastha Apollo HospitalNew DelhiIndia
  3. 3.Department of Liver TransplantIndraprastha Apollo HospitalNew DelhiIndia
  4. 4.Department of CardiologyIndraprastha Apollo HospitalNew DelhiIndia

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