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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
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Published on: October 20, 2017

[Endovascular intervention versus traditional bypass for treatment of Budd-Chiari syndrome]

Bin Xu1, Yingqi Zhou, Zaiping Jing

  • 1Department of General Surgery, Changhai Hospital, Second Military Medical University, Shanghai 200433, China. xubin@smmu.edu.en

Zhonghua Wai Ke Za Zhi [Chinese Journal of Surgery]
|July 26, 2002
PubMed

Insights

Combined endovascular intervention is a superior treatment for Budd-Chiari syndrome (BCS) compared to traditional bypass surgery. This method offers better mid-term outcomes, fewer complications, and is more cost-effective for BCS patients.

Area of Science:

  • Vascular Surgery
  • Hepatology
  • Interventional Radiology

Background:

  • Budd-Chiari syndrome (BCS) is a rare condition characterized by hepatic venous outflow obstruction.
  • Traditional surgical bypass has been used for BCS treatment, but often associated with significant complications.

Purpose of the Study:

  • To compare the efficacy and safety of combined endovascular intervention versus traditional bypass surgery for Budd-Chiari syndrome.
  • To evaluate perioperative complications, hospital stay, cost, and mid-term outcomes.

Main Methods:

  • Retrospective study of 49 patients with BCS treated between July 1989 and June 2001.
  • 32 patients underwent traditional bypass surgery (SMV/IVC to right auricle).
  • 17 patients underwent combined endovascular intervention.

Main Results:

  • The endovascular group experienced significantly fewer perioperative complications, shorter hospital stays, and lower costs (P < 0.01).
  • Mid-term outcomes were significantly better in the endovascular group (P < 0.05).
  • Severe complications in the bypass group included hepatoencephalopathy, ascites, cardiac dysfunction, and graft embolization.

Conclusions:

  • Combined endovascular intervention and shunting represent the preferred treatment for Budd-Chiari syndrome.
  • This approach is simple, safe, effective, and economical, with tailored combinations based on clinical type.
  • Endovascular intervention offers a significant advantage over traditional bypass for BCS management.
Abstract

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