Download PDF
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

Alex Ajay 
1   Department of Imaging sciences and Interventional Radiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India
,
Valakkada Jineesh 
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
› Further Information
Also available at
   Permissions and Reprints

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/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 

  • References

  • 1 Zhang QQ, Xu H, Zu MH. et al. Strategy and long-term outcomes of endovascular treatment for Budd-Chiari syndrome complicated by inferior vena caval thrombosis. Eur J Vasc Endovasc Surg 2014; 47 (05) 550-557
    CrossrefPubMedGoogle Scholar
  • 2 Wei X, Hao X, Da-Hai Y, Mao-Heng Z, Qing-Qiao Z, Yu-Ming G. Analysis of interventional treatments of Budd-Chiari syndrome and the related complications: a study of 1006 cases. Panminerva Med 2013; 55 (04) 371-376
    PubMedGoogle Scholar
  • 3 Bikdeli B. et al. 'Hemopericardium and Cardiac Tamponade as a Complication of Vena Caval Filters: Systematic Review of the Published Literature and the MAUDE Database', Clinical and applied thrombosis/hemostasis: official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis. , vol. 25, pp. 1076029619849111–1076029619849111, 2019 DOI: 10.1177/1076029619849111
    CrossrefPubMedGoogle Scholar
  • 4 Harmon TS, Wynn G, Meyer TE, Siragusa D, Matteo J. Complicated complication: how interventional radiologists should manage acute iatrogenic cardiac tamponade. Cureus 2018; 10 (12) e3708-e3708
    PubMedGoogle Scholar
  • 5 Haller I, Lederer W, Stichlberger M. et al. Iatrogenic cardiac tamponade during endovascular aortic and mesenteric stent grafting: a case report. A A Case Rep 2017; 8 (06) 142-144
    CrossrefPubMedGoogle Scholar
  • 6 Machat S, Eisenhuber E, Pfarl G. et al. Complications of central venous port systems: a pictorial review. Insights Imaging 2019; 10 (01) 86 DOI: 10.1186/s13244-019-0770-2.
    CrossrefPubMedGoogle Scholar
  • 7 Levy-Ravetch M, Auh YH, Rubenstein WA. et al Ravetch. CT of the pericardial recesses. AJR Am J Roentgenol 1985; 144 (04) 707-714
    CrossrefPubMedGoogle Scholar
  • 8 Ger R. Surgical anatomy of the liver. Surg Clin North Am 1989; 69 (02) 179-192
    CrossrefPubMedGoogle Scholar
  • 9 Adler Y, Charron P, Imazio M. et al. 2015 ESC guidelines for the diagnosis and management of pericardial diseases. Rev Esp Cardiol (Engl Ed) 2015; 68 (12) 1126 DOI: 10.1016/j.rec.2015.10.008.
    CrossrefPubMedGoogle Scholar
  • 10 Kumar R, Sinha A, Lin MJ. et al. Complications of pericardiocentesis: A clinical synopsis. Int J Crit Illn Inj Sci 2015; 5 (03) 206-212
    CrossrefPubMedGoogle Scholar
  • 11 Krikorian JG, Hancock EW. Pericardiocentesis. Am J Med 1978; 65 (05) 808-814
    CrossrefPubMedGoogle Scholar
  • 12 Morton AC, Gunn J. A case of autotransfusion from pericardium to femoral vein. Heart 2006; 92 (12) 1727 DOI: 10.1136/hrt.2006.088823.
    CrossrefPubMedGoogle Scholar