Percutaneous balloon angioplasty of inferior vena cava in Budd–Chiari syndrome-R1

Comparison of Long-Term Outcomes of Endovascular Management for Membranous and Segmental Inferior Vena Cava Obstruction in Patients With Primary Budd–Chiari Syndrome

“…Moreover, there are still controversies about the optimal endovascular strategy for these conditions according to previous reports. 5,[13][14][15][16] Two previous studies showed that balloon dilation alone was sufficient in most BCS patients with MOVC and SOVC, and <3% had recurrence in 3 to 8 years of follow-up.5,13 However, otherBackground-Endovascular management is important for the treatment of primary Budd-Chiari syndrome, which is caused by inferior vena cava (IVC) obstruction. The aims of this study were to compare long-term outcomes of endovascular management for primary Budd-Chiari syndrome patients with membranous obstruction of IVC (MOVC) and segmental obstruction of IVC (SOVC) and explore the optimal endovascular strategy for these conditions.…”

“…This disorder is classified into membranous obstruction of IVC (MOVC; obstructed segment of IVC is ≤1.0 cm) and segmental obstruction of IVC (SOVC; obstructed segment of IVC is >1.0 cm). [3][4][5][6] Treatments for this disorder include medical management, surgical operation, and endovascular intervention. Medical management alone has a limited ability to arrest progression of the disease, as reported in a study of 237 patients, where 72% failed to show a significant survival benefit.…”

“…Moreover, there are still controversies about the optimal endovascular strategy for these conditions according to previous reports. 5,[13][14][15][16] Two previous studies showed that balloon dilation alone was sufficient in most BCS patients with MOVC and SOVC, and <3% had recurrence in 3 to 8 years of follow-up.…”

Obliterative hepatocavopathy - ultrasound and cavography findings

“…transjugular intrahepatic portosystemic shunting, percutaneous hepatic vein angioplasty and/ or stent placement also plays an important role in the management -like in the others severe vascular complicated cases. 3,5,6 …”

Surgical treatment of Budd-Chiari syndrome

“…Based on their observations, the investigators recommended percutaneous balloon angioplasty as the initial treatment for BCS caused by IVC occlusion. 63 In cases of extensive thrombosis in which dilatation is unlikely to be effective, radiological management has been geared toward transjugular intrahepatic portosystemic shunt (TIPS) placement. 64 The development of TIPS placed with the aid of radiological imaging has allowed for treatment of even those patients with obliterated hepatic veins.…”