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Cannula-Assisted and Transabdominal Ultrasound-Guided Hepatic Venous Recanalization in Budd Chiari Syndrome: A Novel Technique to Avoid Percutaneous Transabdominal Access

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Abstract

We describe a technique for facilitating recanalization of hepatic veins via the transjugular approach in patients with Budd Chiari syndrome, where a transjugular liver biopsy cannula provides support to the catheter–glidewire combination and transabdominal ultrasound helps in positioning the tip of the cannula at the hepatic venous ostium.

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References

  1. Beckett D, Olliff S (2008) Interventional radiology in the management of Budd Chiari syndrome. Review. Cardiovasc Interv Radiol 31(5):839–847. Epub 23 January 2008

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  2. Keshava SN, Kota GK, Mammen T, Jeyamani R, Moses V, Govil S, Kurian G, Chandy G (2006) Direct intrahepatic cavo-portal shunts in Budd-Chiari syndrome: role of simultaneous fluoroscopy and trans-abdominal ultrasonography. Indian J Gastroenterol 25(5):248–250

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Acknowledgment

The authors thank Mr. D. Kesavan for the line diagrams in Fig. 2.

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Authors and Affiliations

  1. Department of Radiology, Christian Medical College, Scudder Road, Vellore, TN, 632004, India

    Shyamkumar N. Keshava, Vinu Moses & Narayanam R. S. Surendrababu

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  1. Shyamkumar N. Keshava
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  2. Vinu Moses
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  3. Narayanam R. S. Surendrababu
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Correspondence to Shyamkumar N. Keshava.

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Keshava, S.N., Moses, V. & Surendrababu, N.R.S. Cannula-Assisted and Transabdominal Ultrasound-Guided Hepatic Venous Recanalization in Budd Chiari Syndrome: A Novel Technique to Avoid Percutaneous Transabdominal Access. Cardiovasc Intervent Radiol 32, 1257–1259 (2009). https://doi.org/10.1007/s00270-009-9615-6

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  • DOI: https://doi.org/10.1007/s00270-009-9615-6

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