Article Text

Download PDFPDF
CASE REPORT
Use of the AngioJet percutaneous thrombectomy system for the treatment of acute Budd-Chiari syndrome
  1. Adam Doyle1,
  2. Amanda Nicoll1,
  3. Richard Dowling2
  1. 1Department of Gastroenterology and Hepatology, Royal Melbourne Hospital, Melbourne, Victoria, Australia
  2. 2Department of Radiology, Royal Melbourne Hospital, Melbourne, Victoria, Australia
  1. Correspondence to Dr Amanda Nicoll, amandajnicoll{at}westnet.com.au

Summary

A 31-year-old woman presented to our emergency department with an acute liver injury secondary to acute Budd-Chiari (BC) syndrome from hepatic vein thrombosis. After a thorough discussion of the risks involved, we proceeded to treatment with a novel approach, performing a mechanical hepatic vein thrombectomy with the AngioJet percutaneous thrombectomy system. Restoration of hepatic vein flow was confirmed with on-table Doppler ultrasound. There were no complications following the procedure. The patient was initiated on anticoagulation, and showed progressive clinical and laboratory improvement. She was discharged home on day 20 with normal liver function and biochemistry. This is the first reported case of successful mechanical thrombectomy in acute BC syndrome without the addition of angioplasty or chemical thrombolysis.

View Full Text

Statistics from Altmetric.com

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.