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Role of Inferior Vena Cava (IVC) Recanalization in Patients with Back Pain, Secondary to IVC Obstruction in Budd-Chiari Syndrome.
Kubihal, Vijay; Mukund, Amar; Pandey, Yasha; Vashistha, Chitranshu; Maiwall, Rakhi; Patidar, Yashwant; Yadav, Anil Yogendra; Koul, Roshan Lal; Sarin, Shiv Kumar.
Afiliación
  • Kubihal V; Department of Interventional Radiology, Institute of Liver and Biliary Sciences, New Delhi 110070, India.
  • Mukund A; Department of Interventional Radiology, Institute of Liver and Biliary Sciences, New Delhi 110070, India.
  • Pandey Y; Indira IVF Fertility Center, New Delhi 110008, India.
  • Vashistha C; Department of Hepatology, Institute of Liver and Biliary Sciences, New Delhi 110070, India.
  • Maiwall R; Department of Hepatology, Institute of Liver and Biliary Sciences, New Delhi 110070, India.
  • Patidar Y; Department of Interventional Radiology, Institute of Liver and Biliary Sciences, New Delhi 110070, India.
  • Yadav AY; Department of Anaesthesia, Institute of Liver and Biliary Sciences, New Delhi 110070, India.
  • Koul RL; Department of Neurology, Institute of Liver and Biliary Sciences, New Delhi 110070, India.
  • Sarin SK; Department of Hepatology, Institute of Liver and Biliary Sciences, New Delhi 110070, India.
Diagnostics (Basel) ; 13(3)2023 Jan 25.
Article en En | MEDLINE | ID: mdl-36766542
PURPOSE: To study the prevalence of back pain in patients of Budd-Chiari syndrome (BCS) with inferior vena cava (IVC) obstruction, and to evaluate the role of IVC recanalization in resolution of back pain. METHODS: All patients with BCS and IVC obstruction who underwent IVC recanalization between January 2018 and October 2022 were included. Patients with degenerative spine disease or other identifiable causes for back pain were excluded; remaining patients were assessed for the presence of back pain. In patients with back pain, pain relief was assessed at 24 h following IVC recanalization. RESULTS: Fifty-eight patients with BCS and IVC occlusion were identified, of which six with degenerative spine diseases were excluded. Of the remaining 52 patients, 34 (65.4%) had back pain, with pain score between 3 and 9. Engorged epidural venous plexus on preprocedural imaging (p = 0.002), and degree of luminal narrowing (p = 0.021) had a significant association with back pain. Twenty-nine of thirty-four patients (85.3%) with back pain had pain relief immediately following IVC recanalization, more so in patients with engorged epidural venous plexus on preprocedural imaging (p < 0.001). CONCLUSION: Back pain is one of the under-reported symptoms of IVC obstruction in BCS. IVC recanalization by IVC angioplasty with or without stenting relieves back pain due to the decompression of engorged epidural veins.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Prognostic_studies / Risk_factors_studies Idioma: En Revista: Diagnostics (Basel) Año: 2023 Tipo del documento: Article País de afiliación: India Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Prognostic_studies / Risk_factors_studies Idioma: En Revista: Diagnostics (Basel) Año: 2023 Tipo del documento: Article País de afiliación: India Pais de publicación: Suiza