Sánchez-Recalde Angel, Sobrino Nicolás, Galeote Guillermo, Calvo Orbe Luis, Merino José L, Sobrino José A
Unidad Médico-Quirúrgica de Cardiología, Hospital Universitario La Paz, Madrid, Spain.
Rev Esp Cardiol. 2004 Nov;57(11):1121-3.
A 47-year-old man was diagnosed with primary antiphospholipid syndrome and Budd-Chiari syndrome (membranous complete obstruction of the intrahepatic inferior vena cava), with edema and ascites refractory to medical treatment. The inferior vena cava membrane was punctured with a Brockenbrough needle under multidirectional fluoroscopic guidance via a transfemoral approach. The occlusion was dilated with balloons of increasing size and was subsequently stented successfully. At 1-year follow-up venography showed patency of the stent, and the patient remains asymptomatic 2 years after the procedure.
一名47岁男性被诊断为原发性抗磷脂综合征和布加综合征（肝内下腔静脉膜性完全阻塞），伴有水肿和腹水，内科治疗无效。通过经股动脉途径，在多方向透视引导下用布罗肯布罗针穿刺下腔静脉膜。用尺寸逐渐增大的球囊扩张闭塞部位，随后成功置入支架。随访1年时静脉造影显示支架通畅，术后2年患者仍无症状。
