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布加综合征经下腔静脉支架置入术治疗，随后右肝静脉至下腔静脉逆行锐性再通。

Budd-Chiari Syndrome Treated With IVC Stenting With Subsequent Right Hepatic Vein to IVC Retrograde Sharp Recanalization.

作者信息

Gordon Andrew C, Desai Kush R, Boike Justin R, Thornburg Bartley G

机构信息

Department of Radiology, Section of Interventional Radiology, Northwestern University, Chicago, Illinois, USA.

Department of Medicine, Division of Gastroenterology and Hepatology, Northwestern University, Chicago, Illinois, USA.

出版信息

Case Reports Hepatol. 2025 May 15;2025:2216461. doi: 10.1155/crhe/2216461. eCollection 2025.

DOI:10.1155/crhe/2216461
PMID:40406507
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12097869/
Abstract

Venous webs of the inferior vena cava (IVC) and hepatic veins are rare and can result in Budd-Chiari syndrome. Included images of classic venous webbing are from a 60-year-old woman who presented with abdominal distension/pain, lower extremity edema, elevated liver tests, and ascites due to multifocal venous webbing of the IVC and right hepatic vein. The patient was successfully treated with IVC venous stent placement. Delayed recurrence of ascites, abdominal distention, and liver dysfunction after 3 years of follow-up was attributed to an additional right hepatic vein web/occlusion that was treated with a hepatic vein to IVC recanalization and stenting. The patient had complete resolution of symptoms at 2-year follow-up.

摘要

下腔静脉（IVC）和肝静脉的静脉网罕见，可导致布加综合征。经典静脉网的附图来自一名60岁女性，她因下腔静脉和右肝静脉的多灶性静脉网而出现腹胀/腹痛、下肢水肿、肝功能检查升高和腹水。该患者通过放置下腔静脉静脉支架成功治疗。随访3年后腹水、腹胀和肝功能障碍的延迟复发归因于另一个右肝静脉网/闭塞，通过肝静脉至下腔静脉再通和支架置入进行治疗。该患者在2年随访时症状完全缓解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9465/12097869/d8c6bf5422ad/CRIHEP2025-2216461.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9465/12097869/bc50b1f29b78/CRIHEP2025-2216461.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9465/12097869/f3ada48fbb1d/CRIHEP2025-2216461.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9465/12097869/d8c6bf5422ad/CRIHEP2025-2216461.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9465/12097869/bc50b1f29b78/CRIHEP2025-2216461.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9465/12097869/f3ada48fbb1d/CRIHEP2025-2216461.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9465/12097869/d8c6bf5422ad/CRIHEP2025-2216461.003.jpg

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本文引用的文献

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Transhepatic inferior vena cava recanalization in a case of Budd Chiari syndrome: A novel approach.布加综合征病例中的经肝下腔静脉再通：一种新方法。
Radiol Case Rep. 2023 Sep 15;18(11):4172-4175. doi: 10.1016/j.radcr.2023.08.067. eCollection 2023 Nov.
2
Budd-Chiari Syndrome as an Initial Presentation of Systemic Lupus Erythematosus Associated with Antiphospholipid Syndrome: A Case Report with Review of the Literature.布加综合征作为系统性红斑狼疮合并抗磷脂综合征的首发表现：一例报告并文献复习
Open Access Rheumatol. 2023 Aug 16;15:139-143. doi: 10.2147/OARRR.S425535. eCollection 2023.
3
Budd-Chiari syndrome due to hepatic venous web outflow obstruction: percutaneous treatment with balloon angioplasty.
因肝静脉网流出道梗阻所致的布加综合征：经皮球囊血管成形术治疗
J Vasc Bras. 2021 Aug 2;20:e20200133. doi: 10.1590/1677-5449.200133. eCollection 2021.
4
Endovascular treatment of an obstructive membrane between inferior vena cava and right atrium in an unrecognized Budd-Chiari syndrome.未识别的布加综合征中腔静脉与右心房之间阻塞性隔膜的血管内治疗
CVIR Endovasc. 2020 Oct 13;3(1):76. doi: 10.1186/s42155-020-00168-5.
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Budd-Chiari syndrome.布加氏综合征。
AJR Am J Roentgenol. 2012 Oct;199(4):737-45. doi: 10.2214/AJR.12.9098.
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Budd-Chiari syndrome: hepatic venous web outflow obstruction treated by percutaneous placement of hepatic vein stent.布加综合征：经皮肝静脉支架置入治疗肝静脉膜性流出道梗阻
Semin Intervent Radiol. 2007 Mar;24(1):100-5. doi: 10.1055/s-2007-971200.