• J Vasc Interv Radiol · Jan 2014

    Case Reports

    Percutaneous endovascular creation of an inferior vena cava in a patient with caval agenesis, Budd-Chiari syndrome, and iliofemorocaval thrombosis.

    • Ziv J Haskal, Darryn R Potosky, and William S Twaddell.
    • Department of Radiology, University of Maryland School of Medicine, 22 S. Greene St., Baltimore, MD 21201. Electronic address: ziv2@mac.com.
    • J Vasc Interv Radiol. 2014 Jan 1;25(1):63-9.

    AbstractA 29-year-old woman with acute iliofemorocaval thrombosis was discovered to have suprarenal caval agenesis with azygous continuation, hepatic congestion, and fibrosis as a result of chronic Budd-Chiari syndrome. Three staged procedures were performed: pharmacomechanical thrombolysis of acute thromboses, transfemoral liver biopsy and hemodynamic assessment, and percutaneous endovascular creation of a "neocava" lined with endografts. Symptomatic improvement and patency were maintained at 12-week follow-up.Copyright © 2014 SIR. Published by Elsevier Inc. All rights reserved.

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