PURPOSE: Evaluate the efficacy of double Gianturco expandable metallic stents for stenosis of the inferior vena cava (IVC) after orthotopic liver transplantation (OLT). METHODS: Three patients developed severe Budd-Chiari syndrome secondary to suprahepatic caval stenosis after OLT. Percutaneous angioplasty (PTA) of the stenoses was unsuccessful. Therefore double Gianturco expandable metallic stents, connected in tandem, were deployed at the site of the stenoses. RESULTS: One double stent was successfully and definitively deployed in patient 1. Partial dislocation of the upper and lower stents comprising the double stent occurred in patient 2. The double stent initially implanted across the stenosis became displaced in patient 3. The Budd-Chiari syndrome resolved in all three patients who remained asymptomatic during follow-up from 3 to 32 months. CONCLUSIONS: Double Gianturco stent deployment is a viable option in patients with anastomotic stenosis of the IVC secondary to OLT when initial treatment with PTA fails. Certain modifications of the stents employed are suggested for the purpose of avoiding technical complications.
PURPOSE: Evaluate the efficacy of double Gianturco expandable metallic stents for stenosis of the inferior vena cava (IVC) after orthotopic liver transplantation (OLT). METHODS: Three patients developed severe Budd-Chiari syndrome secondary to suprahepatic caval stenosis after OLT. Percutaneous angioplasty (PTA) of the stenoses was unsuccessful. Therefore double Gianturco expandable metallic stents, connected in tandem, were deployed at the site of the stenoses. RESULTS: One double stent was successfully and definitively deployed in patient 1. Partial dislocation of the upper and lower stents comprising the double stent occurred in patient 2. The double stent initially implanted across the stenosis became displaced in patient 3. The Budd-Chiari syndrome resolved in all three patients who remained asymptomatic during follow-up from 3 to 32 months. CONCLUSIONS: Double Gianturco stent deployment is a viable option in patients with anastomotic stenosis of the IVC secondary to OLT when initial treatment with PTA fails. Certain modifications of the stents employed are suggested for the purpose of avoiding technical complications.
Authors: Y Yamazaki; S Eguchi; M Terashima; Y Maruyama; M Yazawa; Y Fujita; K Tsukada Journal: Cardiovasc Intervent Radiol Date: 1988 Impact factor: 2.740
Authors: J D Irving; R F Dondelinger; J F Reidy; H Schild; R Dick; A Adam; M Maynar; C L Zollikofer Journal: Cardiovasc Intervent Radiol Date: 1992 Sep-Oct Impact factor: 2.740
Authors: J Rösch; B T Uchida; L D Hall; R Antonovic; B D Petersen; K Ivancev; R E Barton; F S Keller Journal: Cardiovasc Intervent Radiol Date: 1992 Sep-Oct Impact factor: 2.740
Authors: A B Zajko; D Claus; P Clapuyt; C O Esquivel; D Moulin; T E Starzl; J de Ville de Goyet; J B Otte Journal: Radiology Date: 1989-03 Impact factor: 11.105
Authors: Joseph L McDevitt; Daryl T Goldman; Jacob J Bundy; Anthony N Hage; Neil K Jairath; Joseph J Gemmete; Ravi N Srinivasa; Jeffrey Forris Beecham Chick Journal: Diagn Interv Radiol Date: 2021-01 Impact factor: 2.630
Authors: Ammar Sarwar; Edward Ahn; Ian Brennan; Olga R Brook; Salomao Faintuch; Raza Malik; Khalid Khwaja; Muneeb Ahmed Journal: World J Hepatol Date: 2015-07-18