Percutaneous transluminal angioplasty of the hepatic veins for treatment of Budd-Chiari syndrome.

Uflacker, Renan; Francisconi, Carlos Fernando de Magalhães; Rodriguez, Maximo; Amaral, Ney M.

doi:10.1148/radiology.153.3.6238345

Cited by 37 publications

(8 citation statements)

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“…Likewise, our patient had dilatation of only the right hepatic vein and this was followed by clinical improvement for up to 24 months without oral anticoagulation. It would appear from our case, as well as several others (17,18). that dilatation of only the largest hepatic vein, at the point of occlusion, may result in marked resolution of symptoms.…”

Section: Budd-chiari Syndrome Has Been Diagnosed By Means Of Sonographysupporting

confidence: 68%

Budd‐Chiari syndrome: successful treatment by percutaneous transluminal angioplasty

Fock¹,

Chan²,

Khoo³

1993

Australasian Radiology

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Budd Chiari syndrome is a rare disorder. It is caused by obstruction of the hepatic veins. The prognosis is usually dismal, except in the rare case where the obstruction is due to either webs in the hepatic veins or membranous obstruction of the inferior vena cava. Such cases, more common in the Orient, can be treated by percutaneous transluminal angioplasty. We report a case of Budd Chiari syndrome, due to a membranous obstruction in the right hepatic vein, successfully treated by percutaneous transluminal angioplasty.

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Section: Budd-chiari Syndrome Has Been Diagnosed By Means Of Sonographysupporting

confidence: 68%

Budd‐Chiari syndrome: successful treatment by percutaneous transluminal angioplasty

Fock¹,

Chan²,

Khoo³

1993

Australasian Radiology

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“…Based on PTA experience in the treatment of vascular stenosis, this approach is considered the first therapeutic option. Many authors have already related their favorable experience in hepatic vein and IVC percutaneous angioplasty (4,(13)(14)(15)(16)(17)(18). More than 150 liver transplantations in children have been carried out in a period of 11 yr in our service.…”

Section: Discussionmentioning

confidence: 99%

Endovascular treatment of stenosis between hepatic vein and inferior vena cava following liver transplantation in a child: A case report

Carnevale

Borges

Pinto

et al. 2004

Pediatric Transplantation

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The liver transplantation technique advances have allowed the endovascular treatment of stenosis between hepatic vein and inferior vena cava, and this has become an established and widely acceptable method for the treatment of patients with end-stage liver disease. However, in spite of the advances in the surgical technique of liver transplantation there is relatively still a high incidence of postoperative complications, especially those related to vascular complications. One technical variant of orthotopic liver transplantation is the piggyback technique with conservation of the recipient vena cava, which is anastomosed to the graft hepatic veins. As a consequence of the increased number of liver transplants in children, there is a higher demand for endovascular treatment of vascular stenosis, such as those at the level of the hepatic veins. This leads to more consistent experience of endovascular treatment of the surgical vascular complications following liver transplantation. This article describes the case of a child submitted to liver transplantation with reduced graft (left lateral segment) who presented stenosis of the anastomosis between the hepatic vein and IVC 6 months later which was successfully treated by PTA.

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“…Although most frequently applied to arterial stenoses, PTA has also been successfully used to treat various types of venous stenoses, including those in saphenous vein bypass grafts (20)r the superior vena cava (14), and the portal vein (15). Hepatic vein and IVC stenoses causing the Budd-Chiari syndrome in patients without transplants have also been dilated successfully (16)(17)(18)21,22).…”

Section: Discussionmentioning

confidence: 99%

Obstruction to hepatic venous drainage after liver transplantation: treatment with balloon angioplasty.

Zajko¹,

Claus²,

Clapuyt³

et al. 1989

Radiology

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Stenosis of the suprahepatic inferior vena caval anastomosis is a rare but serious vascular complication after liver transplantation. It may cause significant obstruction to venous drainage from the allograft liver and result in the Budd-Chiari syndrome with massive ascites and pleural effusion causing respiratory compromise. The authors report two such cases in which percutaneous transluminal angioplasty (PTA) of the stenotic anastomosis was performed. This nonsurgical approach resulted in resolution of ascites, pleural effusion, and respiratory distress in both patients. They conclude that PTA is a therapeutic alternative with minimal risk compared with surgical repair or retransplantation and should be considered the initial treatment of choice in selected patients.

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Percutaneous transluminal angioplasty of the hepatic veins for treatment of Budd-Chiari syndrome.

Abstract: The authors report a case of Budd-Chiari syndrome caused by occlusion of all of the hepatic veins which was treated by percutaneous transluminal angioplasty. There were two recurrences requiring redilatation. Two years later, the patient was asymptomatic and off medication.

Cited by 37 publications

References 0 publications

Budd‐Chiari syndrome: successful treatment by percutaneous transluminal angioplasty

Budd‐Chiari syndrome: successful treatment by percutaneous transluminal angioplasty

Endovascular treatment of stenosis between hepatic vein and inferior vena cava following liver transplantation in a child: A case report

Obstruction to hepatic venous drainage after liver transplantation: treatment with balloon angioplasty.

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