Treatment of Inferior Vena Cava Syndrome in Budd-Chiari Syndrome with IVC Obstruction

Inferior vena cava (IVC) syndrome can arise in the context of Budd-Chiari syndrome (BCS) — a rare occlusive disease in which the hepatic veins and/or the IVC become obstructed or thrombosed, producing a distinct and clinically demanding presentation.

Clinical scenario: Budd-Chiari syndrome with obstruction and/or thrombosis of the inferior vena cava and/or hepatic veins. In this setting, IVCS develops as a consequence of rare occlusive disease affecting these venous structures.

Treatment approach

The structured protocol for this scenario includes a liver transplantation-based surgical option among the interventions considered. The complete regimen — including patient selection criteria, sequencing, and all relevant options — is available in the full protocol.

Instant Access to Structured Evidence-Based Regimens

References

IVCS may also develop in Budd-Chiari syndrome (BCS), a rare occlusive disease affecting the hepatic veins (HV) and/or the IVC.
These cases are either treated conservatively, with TIPS/DIPS creation, or with liver transplantation in case of progressive liver failure.

DOI: 10.1024/0301-1526/a000919

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