Successful treatment by percutaneous transluminal angioplasty for membranous obstruction of inferior vena cava in a patient with systemic lupus erythematosus

• Published in: Kanzo Vol. 32; no. 8; pp. 798 - 804
• Main Authors: MATSUSHITA, Eiki, NISHIMURA, Koichi, OHTA, Hajime, ARAI, Kazunori, INAGAKI, Yutaka, KADOYA, Masumi, MATSUI, Osamu, NAKAMOTO, Yasunari, URABE, Takeshi, KOBAYASHI, Ken-ichi, UNOURA, Masashi, TANEI, Masanobu, KANEKO, Shuichi
• Format: Journal Article
• Language: Japanese
• Published: The Japan Society of Hepatology 1991
• Subjects: lupus anticoagulant; percutaneous transluminal angioplasty
• ISSN: 0451-4203; 1881-3593
• DOI: 10.2957/kanzo.32.798

Percutaneous transluminal angioplasty (PTA) was performed successfully for membranous obstruction of inferior vena cava (IVC) in a patient with systemic lupus erythematosus (SLE). He was diagnosed as SLE 16 years ago and has been received corticosteroid therapy. He experienced recurrent episodes of thrombosis of the superior mesenteric artery due to to lupus anticoagulant. In addition, Budd-Chiari syndrome due to membranous obstruction of IVC was disclosed by angiography 7 years ago. Physical examination on admission revealed venous dilatation on the chest and abdominal wall and labolatory data indicated a marked retardation of ICG R15 as well as mild elevation of ductal enzymes and colloidal reactions. There was no finding indicating active SLE lesions except for positive lupus anticoagulant. PTA was performed using Gruntzig's catheters, and the patency of IVC was confirmed by various imaging studies. The dilated veins on the chest and abdominal wall disappeared gradually, and the improvement of ICG R15, heart/liver ratio on 201Tl perrectal scintigraphy and the findings of esophageal varix were achieved after PTA.