case_images: PMC2648948_01
case_images: A. Narrowed IVC with non visualization of hepatic veins. B. IVC stent in situ.
case_images: 1757-1626-2-1-1.jpg
case_images: PMC2648948_01_1757-1626-2-1-1.jpg
case_images: F1
case_images: The hepatic veins could not be cannulated, suggestive of complete occlusion at the ostia. (Figure 1:A). An 18 x 63 mm WALL STENT was placed across the narrowed segment in the IVC followed by balloon dilatation using a 16 mm balloon (Figure 1:B).
case_images: Percutaneous transhepatic venogram revealed left hepatic vein replaced by multiple collaterals, IVC stent in situ.
case_images: 1757-1626-2-1-2.jpg
case_images: PMC2648948_01_1757-1626-2-1-2.jpg
case_images: F2
case_images: IVC stent was in situ (Figure 2).
case_images: Transjugular venogram A. Patent IVC Stent B. Narrowed portocaval graft.
case_images: 1757-1626-2-1-3.jpg
case_images: PMC2648948_01_1757-1626-2-1-3.jpg
case_images: F3
case_images: There was narrowing of the portosystemic graft with a gradient of more than 15 mmHg near its IVC end (Figure 3:A, B).
case_images: Transfemoral venoplasty A. Pre dilatation of the graft. B. Widened, patent graft post dilatation with stent in situ.
case_images: 1757-1626-2-1-4.jpg
case_images: PMC2648948_01_1757-1626-2-1-4.jpg
case_images: F4
case_images: Following predilatation of the graft with a 5 mm angioplasty balloon (Figure 4A), an 8 mm x 30 mm self-expanding nitinol stent was placed in the graft covering its portal and caval ends. Post stenting portal venogram showed good flow through the graft into the IVC (Figure 4:B).