Endovascular Treatment of Budd–Chiari Syndrome with Hepatic Vein Obstruction in China

2014 ◽  
Vol 24 (12) ◽  
pp. 846-851 ◽  
Author(s):  
Hong-Fei Sang ◽  
Xiao-Qiang Li
Keyword(s):  
Endovascular Treatment ◽  
Hepatic Vein ◽  
Budd Chiari Syndrome ◽  
Hepatic Vein Obstruction ◽  
Chiari Syndrome

scholarly journals Development of a canine model with diffuse hepatic vein obstruction (Budd-Chiari syndrome) via endovascular occlusion

2013 ◽  
Vol 9 (2) ◽  
pp. 607-613 ◽  
Author(s):  
BIN SHEN ◽  
QINGQIAO ZHANG ◽  
XIAOLONG WANG ◽  
HAO XU ◽  
MAOHENG ZU ◽  
...  
Keyword(s):  
Hepatic Vein ◽  
Canine Model ◽  
Budd Chiari Syndrome ◽  
Endovascular Occlusion ◽  
Hepatic Vein Obstruction ◽  
Chiari Syndrome

scholarly journals Managing Budd-Chiari syndrome: a retrospective review of percutaneous hepatic vein angioplasty and surgical shunting

Gut ◽  
1999 ◽  
Vol 44 (4) ◽  
pp. 568-574 ◽  
Author(s):  
N C Fisher ◽  
I McCafferty ◽  
M Dolapci ◽  
M Wali ◽  
J A C Buckels ◽  
...  
Keyword(s):  
Hepatic Vein ◽  
Short Length ◽  
Definitive Treatment ◽  
Surgical Patient ◽  
Budd Chiari Syndrome ◽  
Term Outcome ◽  
Hepatic Vein Obstruction ◽  
Chiari Syndrome ◽  
Vein Stenosis ◽  
Hepatic Vein Stenosis

BACKGROUNDThe role of percutaneous hepatic vein angioplasty in the management of Budd-Chiari syndrome has not been well defined. Over a 10 year period at our unit, we have often used this technique in cases of short length hepatic vein stenosis or occlusion, reserving surgical mesocaval shunting for cases of diffuse hepatic vein occlusion or failed angioplasty.AIMSTo review the outcome of angioplasty and surgical shunting to define their respective roles.PATIENTSAll patients treated by angioplasty or surgical shunting for non-malignant hepatic vein obstruction over a ten year period from 1987 to 1996.METHODSA case note review of pretreatment features and clinical outcome.RESULTSAngioplasty was attempted in 21 patients with patent hepatic vein branches and was succesful in 18; in three patients treatment was unsuccessful and these patients had surgical shunts. Fifteen patients were treated by surgical shunting only. Mortality according to definitive treatment was 3/18 following angioplasty and 8/18 following surgery; in most cases this reflected high risk status prior to treatment. Venous or shunt reocclusion rates were similar for both groups and were associated with subtherapeutic warfarin in half of these cases. Most surviving patients in both groups are asymptomatic although one surgical patient has chronic hepatic encephalopathy.CONCLUSIONWith appropriate case selection, many patients with Budd-Chiari syndrome caused by short length hepatic vein stenosis or occlusion may be managed successfully by angioplasty alone. Medium term outcome is good following this procedure provided that anticoagulation is maintained. Further follow up is required to assess for definitive benefits but we suggest that this should be included as a valid initial approach in the algorithm for management of Budd-Chiari syndrome.

Unusual spontaneous hepatic vein to paraumbilical vein shunt in a patient with Budd-Chiari syndrome and cirrhosis: a case report

2008 ◽  
Vol 17 (4) ◽  
pp. 210-213 ◽  
Author(s):  
Allan I. Bloom ◽  
Shmuel E. Cohen ◽  
Pinchas D. Lebensart ◽  
Orit Pappo ◽  
Ahmed Eid
Keyword(s):  
Case Report ◽  
Hepatic Vein ◽  
Budd Chiari Syndrome ◽  
Paraumbilical Vein ◽  
Chiari Syndrome
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