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

To guide early clinical recognition and management of intraprocedural complications during IVC angioplasty in Budd-Chiari syndrome patients.

Key Findings:
  • The patient experienced significant bleeding from the right common carotid artery due to a puncture injury during IVC angioplasty, necessitating emergency intervention.
  • Three covered stents were placed at the injury site, successfully controlling the bleeding.
Interpretation:

This case underscores the potential for serious complications during endovascular procedures and highlights the critical importance of a rapid multidisciplinary response.

Limitations:
  • The report is based on a single case study, which limits its generalizability.
  • There is a lack of extensive data on intraoperative complications in similar cases, which may affect the applicability of findings.
Conclusion:

This case emphasizes the necessity for heightened awareness and preparedness in managing arterial injuries during IVC angioplasty, with implications for improving patient safety.

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