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- Title
The role of intravascular intervention in the management of Budd-Chiari syndrome.
- Authors
Hui Xue; Ying-Chao Li; Shakya, Pramod; Palikhe, Muna; Jha, Rajiv; Xue, Hui; Li, Ying-Chao; Jha, Rajiv Kumar
- Abstract
<bold>Objective: </bold>To evaluate the efficacy of intravascular intervention in the management of different types of Budd-Chiari syndrome.<bold>Methods: </bold>Fifty-three patients of BCS were clinically diagnosed and interventionally treated in terms of their signs and symptoms of portal hypertension and occlusive inferior vena cava/or hepatic veins with the combination of Doppler ultrasonography, CT scan, and angiography. The interventional methods applied in this study included percutaneous transluminal angioplasty and IVC stent implantation (PTA+IVC stent); transjugular hepatic veno-stent placement (PTA+HV stent) or transjugular transluminal hepatic veno-inferior vena cava stent placement and transcaval transjugular intrahepatic portocaval shunt.<bold>Results: </bold>The success rate of intravascular interventional therapy was 92.45% (49/53). After interventional therapy, the patients' pleural effusion, ascites, prominent veins formation of bilateral flanks or backs alleviated, hepatomegaly reduced, and the urinary output increased. The longest follow-up case was 13 years with patent stent. Two patients died of pulmonary embolization or pericardial tamponade during surgery.<bold>Conclusion: </bold>Intravascular intervention is a safe and effective therapy for most types of BCS.
- Subjects
SYNDROMES; INTRAVASCULAR ultrasonography; PORTAL hypertension; VENA cava inferior
- Publication
Digestive Diseases & Sciences, 2010, Vol 55, Issue 9, p2659
- ISSN
0163-2116
- Publication type
journal article
- DOI
10.1007/s10620-009-1087-7