Successful Endovascular Stenting of the Inferior Venacava (IVC) in a Patient with Budd-Chiari Syndrome (BCS)

Dr. P. Sampath Kumar, Dr. V. S. R Bhupal, DR. K. C. Karthik Naidu, Dr. G. Pranoy

Abstract: A 60 year Old man an Agricultural labourer by occupation had Distension of Abdomen, Prominent of veins over abdomen & Swelling of both legs with excoriation for the past 8 years was diagnosed as Budd chiari syndrome with IVC Obstruction. MR venogram showed focal short segmental stenosis causing 80-90 % luminal narrowing of IVC at diaphragmatic hiatus region with mild downstream dilatation of IVC which is 33 mm. IVC angiogram was done which showed obstruction at the junction of IVC and right atrium with thickness of membrane around 5mm. IVC SELF EXPANDING WALL STENT (18 x 60mm) was done and IVC flow was restored. patient symptoms reduced & he is on regular follow up.

Keywords: PT-INR International Normalized ratio, ECG Electrocardiogram, CBD common Bile duct, IHBD intra-Hepatic biliary Dilatation, PCS pelvicalyceal System, IVC Inferior venacava, SFV