Case report: Emergency management of adjacent arterial injury during inferior vena cava angioplasty in a patient with Budd-Chiari syndrome - Report - MDSpire

Case report: Emergency management of adjacent arterial injury during inferior vena cava angioplasty in a patient with Budd-Chiari syndrome

  • By

  • Yue Luo

  • Wei Duan

  • Wei Li

  • Weibing Leng

  • June 16, 2026

  • 0 min

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Clinical Report: Urgent Intervention for Adjacent Arterial Injury During IVC Angioplasty

Overview

This case report details an incident of inadvertent injury to the right common carotid artery during inferior vena cava angioplasty in a patient with Budd-Chiari syndrome. Successful hemostasis was achieved through the placement of covered stents, highlighting the need for prompt recognition and management of such complications.

Background

Incorporate specific statistics or references to support claims about morbidity and risks associated with endovascular therapy.

Data Highlights

Revise to provide context on the absence of numerical data and its implications for the findings.

Key Findings

  • Inadvertent arterial injury can occur during IVC angioplasty procedures.
  • Multidisciplinary consultation is essential for managing intraoperative complications.
  • Placement of covered stents can effectively achieve hemostasis in cases of arterial injury.
  • There is a lack of extensive reports on intraoperative puncture injuries involving complex arterial anatomy.
  • Early recognition of complications can significantly impact clinical outcomes.

Clinical Implications

Clinicians should be aware of the potential for arterial injuries during IVC angioplasty and the importance of rapid intervention. Multidisciplinary approaches can enhance patient safety and improve management of complications.

Conclusion

Reiterate the broader implications of the case for clinical practice and future research.

Related Resources & Content

  1. EASL Clinical Practice Guidelines on vascular diseases of the liver, ScienceDirect, 2025 -- Comprehensive guidelines for BCS management
  2. Vascular Medicine — Images in Vascular Medicine: Endovascular recanalization for postthrombotic syndrome in a duplicated inferior vena cava anomaly, 2026
  3. Endovascular Recanalization through the Ascending Cervical Artery for Occlusion of Non-Conical Stump Vertebral Artery: A Case Study, 2026
  4. Clinical Research in Cardiology — Management of a Pseudoaneurysm in the Left Common Carotid Artery Following Central Venous Catheter Insertion, 2021
  5. Comparative efficacy and safety of endovascular intervention versus conservative therapy in Budd-Chiari syndrome, BMC Gastroenterology, 2025
  6. Frontiers in Medicine — Device Entrapment during Percutaneous Transluminal Angioplasty for Central Venous Stenosis in an Arteriovenous Fistula: A Case Report
  7. EASL Clinical Practice Guidelines on vascular diseases of the liver - ScienceDirect
  8. Comparative efficacy and safety of endovascular intervention versus conservative therapy in Budd-Chiari syndrome: a retrospective cohort study | BMC Gastroenterology | Springer Nature Link

Original Source(s)

Case report: Emergency management of adjacent arterial injury during inferior vena cava angioplasty in a patient with Budd-Chiari syndrome

  • by Yue Luo, Wei Duan, Wei Li, Weibing Leng

  • June 16, 2026

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