Treatment of the budd-chiari syndrome with percutaneous transluminal angioplasty

Sparano, Joseph A.; Jing, Chang; Trasi, S. S.; Bonanno, Charles A.

doi:10.1016/0002-9343(87)90022-2

Cited by 54 publications

(20 citation statements)

References 11 publications

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“…The best results are obtained when the thrombolytic agent is administered early directly into the vein, although promising data has been reported with thrombolysis carried out two to three weeks after the onset of symptoms [140,141] . Balloon angioplasty has been used to relieve hepatic outflow obstruction secondary to caval webs or shortsegment hepatic vein stenosis [142] . Although short-term results are excellent, the sustained patency rate is only 50% at two years after the procedure [143] .…”

Section: Managementmentioning

confidence: 99%

Hepatic venous outflow obstruction: Three similar syndromes

Bayraktar

Seren²,

Bayraktar³

2007

WJG

115

110

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Our goal is to provide a detailed review of venoocclusive disease (VOD), Budd-Chiari syndrome (BCS), and congestive hepatopathy (CH), all of which results in hepatic venous outflow obstruction. This is the first article in which all three syndromes have been reviewed, enabling the reader to compare the characteristics of these disorders. The histological findings in VOD, BCS, and CH are almost identical: sinusoidal congestion and cell necrosis mostly in perivenular areas of hepatic acini which eventually leads to bridging fibrosis between adjacent central veins. Tender hepatomegaly with jaundice and ascites is common to all three conditions. However, the clinical presentation depends mostly on the extent and rapidity of the outflow obstruction. Although the etiology and treatment are completely different in VOD, BCS, and CH; the similarities in clinical manifestations and liver histology may suggest a common mechanism of hepatic injury and adaptation in response to increased sinusoidal pressure.

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Section: Managementmentioning

confidence: 99%

Hepatic venous outflow obstruction: Three similar syndromes

Bayraktar

Seren²,

Bayraktar³

2007

WJG

115

110

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“…If we really are seeing a trend toward earlier diagnosis of HVT, therapies such as thrombolytic agents, angioplasty, and placement of intravascular metal stents may take on more important roles. [9][10][11][12] We should keep in mind that this report by Min et al 4 is the first to demonstrate good results with medical therapy alone and that these results have not yet been replicated. Until other reports support the findings of Min, we must not abandon the tried and true, particularly PSS and OLT.…”

mentioning

confidence: 76%

Budd-Chiari syndrome: decisions, decisions

Langnas¹

1997

Liver Transplantation

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“…Percutaneous transluminal angioplasty is another safe and useful method for the management of BCS due to membranous obstruction of the hepatic portion of the inferior vena cava or the hepatic veins [22] . In our study, 6 patients with BCS caused by web obstruction were successfully treated with balloon angioplasty.…”

Section: Discussionmentioning

confidence: 99%

Presentation of Hospital Outcomes and Different Treatment Methods of Patients with Budd-Chiari Syndrome: A Report from Two Tertiary Hospitals in Iran

Ebrahimi

Modaghegh²,

Esmaeilzadeh³

2011

Med Princ Pract

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Objective: The aim of this study was to report common presentations of Budd-Chiari syndrome (BCS) and the early outcome of different treatment methods in two tertiary hospitals in Iran. Subjects and Methods: This case series study was performed on 21 patients (mean age: 42 ± 13.09 years; 11 male, 52.4%, and 10 female, 47.6%) admitted for treatment of BCS in two tertiary referral centers in Mashhad, Iran, between 2002 and 2008. All required data of signs, underlying etiology, treatment methods and in-hospital mortality were gathered from patients’ medical records. Results: Angiographic and sonographic findings showed that the most frequent isolated location of obstruction was the inferior vena cava (n = 12, 57.1%). No distinct underlying disease was found in 6 (28.6%) patients. Eleven (52.4%) patients had web obstruction and 4 patients had other related underlying diseases. Treatment modalities consisted of medical follow-up in 12 (57.1%), angioplasty in 6 (28.6%), and surgery in 3 (14.3%) patients. Medical follow-up of 3 patients, 1 with angioplasty and 2 who had undergone surgery, disclosed that they had died before discharge from hospital. Conclusion: Higher age at diagnosis may reflect late diagnosis at an advanced stage of disease. We suggest that the early symptoms of this disease should be taken into account more seriously in differential diagnosis. Balloon angioplasty seems to be a more efficient method for treatment of BCS.

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Treatment of the budd-chiari syndrome with percutaneous transluminal angioplasty

Cited by 54 publications

References 11 publications

Hepatic venous outflow obstruction: Three similar syndromes

Hepatic venous outflow obstruction: Three similar syndromes

Budd-Chiari syndrome: decisions, decisions

Presentation of Hospital Outcomes and Different Treatment Methods of Patients with Budd-Chiari Syndrome: A Report from Two Tertiary Hospitals in Iran

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