Related Articles The Role of Intravascular Intervention in the Management of Budd-Chiari Syndrome.

Dig Dis Sci. 2009 Dec 25;

Authors: Xue H, Li YC, Shakya P, Palikhe M, Jha RK

OBJECTIVE: To evaluate the efficacy of intravascular intervention in the management of different types of Budd-Chiari syndrome. METHODS: 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. RESULTS: 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. CONCLUSION: Intravascular intervention is a safe and effective therapy for most types of BCS.

PMID: 20035404 [PubMed - as supplied by publisher]