Endovascular treatment of Budd-Chiari syndrome
Background Budd-Chiad syndrome (BCS) is a posthepatic portal hypertension caused by the obstruction of the lumen of the hepatic veins or the proximal inferior vena cava (IVC). This study aimed to evaluate the clinical experience of interventional therapy for Budd-Chiari syndrome. Methods IVC venogra...
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Veröffentlicht in: | Chinese medical journal 2011-10, Vol.124 (20), p.3289-3292 |
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description | Background Budd-Chiad syndrome (BCS) is a posthepatic portal hypertension caused by the obstruction of the lumen of the hepatic veins or the proximal inferior vena cava (IVC). This study aimed to evaluate the clinical experience of interventional therapy for Budd-Chiari syndrome. Methods IVC venography was carried out first, the obliteration or stenosis in the IVC was opened or dilated with the hard guided wire or Rupsl00 puncture needle and balloon, then a stent was routinely implanted for the type of obliteration or stenosis. Results The procedure was successful in 821 out of 903 cases including IVC intervention in 760 cases, and hepatic vein intervention in 61 cases. An IVC stent was used in 517 cases and hepatic vein stent in 19 cases. There were no pulmonary embolisms, but acute renal failure occurred in eight cases, hepatic coma in two cases and acute heart failure in 43 cases. Two patients died in this group and five cases were complicated with acute IVC thrombosis. Follow up of 7 to 124 months was made in 679 cases with recurrence found in 59 cases. Conclusions Interventional therapy is safe and effective with a fast recovery for most types of BCS. It is gradually becomine the first therapeutic choice. |
doi_str_mv | 10.3760/cma.j.issn.0366-6999.2011.20.015 |
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This study aimed to evaluate the clinical experience of interventional therapy for Budd-Chiari syndrome. Methods IVC venography was carried out first, the obliteration or stenosis in the IVC was opened or dilated with the hard guided wire or Rupsl00 puncture needle and balloon, then a stent was routinely implanted for the type of obliteration or stenosis. Results The procedure was successful in 821 out of 903 cases including IVC intervention in 760 cases, and hepatic vein intervention in 61 cases. An IVC stent was used in 517 cases and hepatic vein stent in 19 cases. There were no pulmonary embolisms, but acute renal failure occurred in eight cases, hepatic coma in two cases and acute heart failure in 43 cases. Two patients died in this group and five cases were complicated with acute IVC thrombosis. Follow up of 7 to 124 months was made in 679 cases with recurrence found in 59 cases. Conclusions Interventional therapy is safe and effective with a fast recovery for most types of BCS. It is gradually becomine the first therapeutic choice.</description><identifier>ISSN: 0366-6999</identifier><identifier>EISSN: 2542-5641</identifier><identifier>DOI: 10.3760/cma.j.issn.0366-6999.2011.20.015</identifier><identifier>PMID: 22088523</identifier><language>eng</language><publisher>China: Department of Vascular Surgery, Affiliated Jinan Central Hospital of Shandong University, Jinan, Shandong 250013, China%Department of Vascular Surgery, Affiliated Jinan Central Hospital of Shandong University, Jinan, Shandong 250013, China%Department of Surgery, First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450052, China</publisher><subject>Adolescent ; Adult ; Aged ; Angioplasty, Balloon - adverse effects ; Budd-Chiari Syndrome - surgery ; Budd-Chiari Syndrome - therapy ; Child ; Female ; Humans ; Male ; Middle Aged ; Phlebography ; Treatment Outcome ; Young Adult ; 临床经验 ; 介入治疗 ; 心力衰竭 ; 急性肾功能衰竭 ; 管内 ; 综合征 ; 肝静脉 ; 血栓形成</subject><ispartof>Chinese medical journal, 2011-10, Vol.124 (20), p.3289-3292</ispartof><rights>Copyright © Wanfang Data Co. Ltd. All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Uhttp://image.cqvip.com/vip1000/qk/85656X/85656X.jpg</thumbnail><link.rule.ids>314,780,784,864,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22088523$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Meng, Qing-Yi</creatorcontrib><creatorcontrib>Sun, Nian-Feng</creatorcontrib><creatorcontrib>Wang, Jia-Xiang</creatorcontrib><creatorcontrib>Wang, Rui-Hua</creatorcontrib><creatorcontrib>Liu, Zhao-Xuan</creatorcontrib><title>Endovascular treatment of Budd-Chiari syndrome</title><title>Chinese medical journal</title><addtitle>Chinese Medical Journal</addtitle><description>Background Budd-Chiad syndrome (BCS) is a posthepatic portal hypertension caused by the obstruction of the lumen of the hepatic veins or the proximal inferior vena cava (IVC). This study aimed to evaluate the clinical experience of interventional therapy for Budd-Chiari syndrome. Methods IVC venography was carried out first, the obliteration or stenosis in the IVC was opened or dilated with the hard guided wire or Rupsl00 puncture needle and balloon, then a stent was routinely implanted for the type of obliteration or stenosis. Results The procedure was successful in 821 out of 903 cases including IVC intervention in 760 cases, and hepatic vein intervention in 61 cases. An IVC stent was used in 517 cases and hepatic vein stent in 19 cases. There were no pulmonary embolisms, but acute renal failure occurred in eight cases, hepatic coma in two cases and acute heart failure in 43 cases. Two patients died in this group and five cases were complicated with acute IVC thrombosis. Follow up of 7 to 124 months was made in 679 cases with recurrence found in 59 cases. Conclusions Interventional therapy is safe and effective with a fast recovery for most types of BCS. It is gradually becomine the first therapeutic choice.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Angioplasty, Balloon - adverse effects</subject><subject>Budd-Chiari Syndrome - surgery</subject><subject>Budd-Chiari Syndrome - therapy</subject><subject>Child</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Phlebography</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><subject>临床经验</subject><subject>介入治疗</subject><subject>心力衰竭</subject><subject>急性肾功能衰竭</subject><subject>管内</subject><subject>综合征</subject><subject>肝静脉</subject><subject>血栓形成</subject><issn>0366-6999</issn><issn>2542-5641</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo90MlOwzAQBmALgWgpvAIKF-CS4CVecoSqLFIlLnCOHC9tosRp7QRUnh6jtlxmLp_m1z8A3COYEc7gg-pk1mR1CC6DhLGUFUWRYYhQHBlE9ARMMc1xSlmOTsH030zARQgNhJhSzs7BBGMoBMVkCrKF0_2XDGpspU8Gb-TQGTckvU2eRq3T-bqWvk7Czmnfd-YSnFnZBnN12DPw-bz4mL-my_eXt_njMlWY8SFVNgYZYyVUpJKaKGE0gTbnVBKOc8MEkQpVouAGEgsrwgttteYRQIGUJjNwu7_7LZ2VblU2_ehdTCx_1qpr_ipjGAtHeLeHG99vRxOGsquDMm0rnenHUBaQspiGRJTXBzlWndHlxted9Lvy-IsIbvZArXu32tYx9WhIIRgiVJBfD2RvgA</recordid><startdate>201110</startdate><enddate>201110</enddate><creator>Meng, Qing-Yi</creator><creator>Sun, Nian-Feng</creator><creator>Wang, Jia-Xiang</creator><creator>Wang, Rui-Hua</creator><creator>Liu, Zhao-Xuan</creator><general>Department of Vascular Surgery, Affiliated Jinan Central Hospital of Shandong University, Jinan, Shandong 250013, China%Department of Vascular Surgery, Affiliated Jinan Central Hospital of Shandong University, Jinan, Shandong 250013, China%Department of Surgery, First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450052, China</general><general>Department of Surgery, First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450052, China</general><scope>2RA</scope><scope>92L</scope><scope>CQIGP</scope><scope>W91</scope><scope>~WA</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope><scope>2B.</scope><scope>4A8</scope><scope>92I</scope><scope>93N</scope><scope>PSX</scope><scope>TCJ</scope></search><sort><creationdate>201110</creationdate><title>Endovascular treatment of Budd-Chiari syndrome</title><author>Meng, Qing-Yi ; Sun, Nian-Feng ; Wang, Jia-Xiang ; Wang, Rui-Hua ; Liu, Zhao-Xuan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c267t-cf557eefa0c3bad3c8ed30f475a3724e683ac1b897e03f0b379dfdd7475081cd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Angioplasty, Balloon - adverse effects</topic><topic>Budd-Chiari Syndrome - surgery</topic><topic>Budd-Chiari Syndrome - therapy</topic><topic>Child</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Phlebography</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><topic>临床经验</topic><topic>介入治疗</topic><topic>心力衰竭</topic><topic>急性肾功能衰竭</topic><topic>管内</topic><topic>综合征</topic><topic>肝静脉</topic><topic>血栓形成</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Meng, Qing-Yi</creatorcontrib><creatorcontrib>Sun, Nian-Feng</creatorcontrib><creatorcontrib>Wang, Jia-Xiang</creatorcontrib><creatorcontrib>Wang, Rui-Hua</creatorcontrib><creatorcontrib>Liu, Zhao-Xuan</creatorcontrib><collection>中文科技期刊数据库</collection><collection>中文科技期刊数据库-CALIS站点</collection><collection>中文科技期刊数据库-7.0平台</collection><collection>中文科技期刊数据库-医药卫生</collection><collection>中文科技期刊数据库- 镜像站点</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><collection>Wanfang Data Journals - Hong Kong</collection><collection>WANFANG Data Centre</collection><collection>Wanfang Data Journals</collection><collection>万方数据期刊 - 香港版</collection><collection>China Online Journals (COJ)</collection><collection>China Online Journals (COJ)</collection><jtitle>Chinese medical journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Meng, Qing-Yi</au><au>Sun, Nian-Feng</au><au>Wang, Jia-Xiang</au><au>Wang, Rui-Hua</au><au>Liu, Zhao-Xuan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Endovascular treatment of Budd-Chiari syndrome</atitle><jtitle>Chinese medical journal</jtitle><addtitle>Chinese Medical Journal</addtitle><date>2011-10</date><risdate>2011</risdate><volume>124</volume><issue>20</issue><spage>3289</spage><epage>3292</epage><pages>3289-3292</pages><issn>0366-6999</issn><eissn>2542-5641</eissn><abstract>Background Budd-Chiad syndrome (BCS) is a posthepatic portal hypertension caused by the obstruction of the lumen of the hepatic veins or the proximal inferior vena cava (IVC). This study aimed to evaluate the clinical experience of interventional therapy for Budd-Chiari syndrome. Methods IVC venography was carried out first, the obliteration or stenosis in the IVC was opened or dilated with the hard guided wire or Rupsl00 puncture needle and balloon, then a stent was routinely implanted for the type of obliteration or stenosis. Results The procedure was successful in 821 out of 903 cases including IVC intervention in 760 cases, and hepatic vein intervention in 61 cases. An IVC stent was used in 517 cases and hepatic vein stent in 19 cases. There were no pulmonary embolisms, but acute renal failure occurred in eight cases, hepatic coma in two cases and acute heart failure in 43 cases. Two patients died in this group and five cases were complicated with acute IVC thrombosis. Follow up of 7 to 124 months was made in 679 cases with recurrence found in 59 cases. Conclusions Interventional therapy is safe and effective with a fast recovery for most types of BCS. It is gradually becomine the first therapeutic choice.</abstract><cop>China</cop><pub>Department of Vascular Surgery, Affiliated Jinan Central Hospital of Shandong University, Jinan, Shandong 250013, China%Department of Vascular Surgery, Affiliated Jinan Central Hospital of Shandong University, Jinan, Shandong 250013, China%Department of Surgery, First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450052, China</pub><pmid>22088523</pmid><doi>10.3760/cma.j.issn.0366-6999.2011.20.015</doi><tpages>4</tpages></addata></record> |
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subjects | Adolescent Adult Aged Angioplasty, Balloon - adverse effects Budd-Chiari Syndrome - surgery Budd-Chiari Syndrome - therapy Child Female Humans Male Middle Aged Phlebography Treatment Outcome Young Adult 临床经验 介入治疗 心力衰竭 急性肾功能衰竭 管内 综合征 肝静脉 血栓形成 |
title | Endovascular treatment of Budd-Chiari syndrome |
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