Sharp Recanalization of the Hepatic Vein Using a Chiba Needle in Budd–Chiari Syndrome

Abstract

Hepatic vein recanalization in Budd–Chiari syndrome may require procedural modification if the endovascular approach fails. Sharp recanalization using the stiff end of a guidewire or a thin Chiba needle remains an effective technique in difficult-to-cross hepatic vein stricture. Of note, this technique requires utmost precaution to avoid catastrophic hemorrhage. The present case describes the successful recanalization of the middle hepatic vein using a 21-gauge Chiba needle through the percutaneous transhepatic route.

Keywords

sharp recanalization - Budd–Chiari syndrome - Chiba needle

Informed Consent

Informed consent was obtained from the patient's parents for publication of this case report and accompanying images.

Publication History

Article published online:
27 December 2024

• References

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