Open Access
CC BY-NC-ND 4.0 · Journal of Clinical Interventional Radiology ISVIR 2022; 06(03): 223-225
DOI: 10.1055/s-0041-1742230
Short Communication

Pericardial Tamponade during Supra Hepatic IVC Angioplasty in Budd-Chiari Syndrome Managed by Ultrasound-Guided Pericardiocentesis

1   Department of Imaging sciences and Interventional Radiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India
,
1   Department of Imaging sciences and Interventional Radiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India
,
Ayyappan Anoop
1   Department of Imaging sciences and Interventional Radiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India
,
Santhosh Kannath
1   Department of Imaging sciences and Interventional Radiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India
,
Harshit Kramadhari
1   Department of Imaging sciences and Interventional Radiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India
› Author Affiliations
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Introduction

Role of endovascular interventions has increased in the treatment of inferior vena cava (IVC) occlusion including Budd-Chiari syndrome, since surgical options are limited. Fibrous component in thrombus, anatomical narrowing of IVC, the ambiguity of course of IVC to the atrium, and inability to assess across occlusion are all challenges faced in interventions in Budd-Chiari syndrome.[1] The occurrence of iatrogenic cardiac tamponade is a rare complication of IVC venoplasty.[1] [2] Herein, we present a case that highlights the importance of timely anticipation of this near-fatal event and management of pericardial tamponade in salvaging the patient's life.

Authors' Contributions

All the authors have contributed for data collection, design, and manuscript preparation.




Publication History

Article published online:
07 February 2022

© 2022. Indian Society of Vascular and Interventional Radiology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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