Related Experiment Video

Updated: Aug 30, 2026

Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function
10:28

Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function

Published on: March 15, 2022

[Interventional radiology, angioplasty and TIPS in Budd-Chiari syndrome]

O Núñez1, G de la Cruz, J Molina

  • 1Servicio de Aparato Digestivo. Hospital General Universitario Gregorio Marañón. Madrid. España.

Gastroenterologia Y Hepatologia
|October 10, 2003
PubMed

Insights

Transjugular intrahepatic portosystemic shunt (TIPS) and balloon angioplasty offer effective treatment for Budd-Chiari syndrome, improving patient outcomes and serving as alternatives to surgery.

Area of Science:

  • Interventional Radiology
  • Hepatology
  • Vascular Surgery

Background:

  • Budd-Chiari syndrome involves hepatic vein obstruction.
  • Surgical shunting is a traditional treatment.
  • Interventional radiology presents alternative therapeutic options.

Purpose of the Study:

  • To evaluate the efficacy of percutaneous balloon angioplasty and transjugular intrahepatic portosystemic shunt (TIPS) in Budd-Chiari syndrome treatment.
  • To compare these interventional techniques against surgical options.

Main Methods:

  • Retrospective analysis of 11 patients with Budd-Chiari syndrome.
  • Seven patients underwent either percutaneous balloon angioplasty (2) or TIPS (5).
  • Efficacy assessed by clinical improvement, ascites resolution, and Child-Pugh score changes.

Main Results:

  • Percutaneous balloon angioplasty yielded favorable outcomes with ascites resolution in two patients with isolated stenosis.
  • Transjugular intrahepatic portosystemic shunt (TIPS) resulted in clinical improvement and ascites resolution in four of five patients, with significant Child-Pugh score reduction.
  • One patient died post-TIPS, and two died from underlying disease during follow-up; no shunt malfunction was noted.

Conclusions:

  • Budd-Chiari syndrome management requires a multidisciplinary and individualized approach.
  • Transjugular intrahepatic portosystemic shunt (TIPS) is a viable decompressive option for medically refractory cases, serving as an alternative to surgical shunting.
  • Liver transplantation remains an option for patients unresponsive to interventional techniques.
Abstract

More Related Videos

Catheter-based Endovascular Angioplasty for Fibrosing Mediastinitis-associated Pulmonary Vein Stenosis06:59

Catheter-based Endovascular Angioplasty for Fibrosing Mediastinitis-associated Pulmonary Vein Stenosis

Published on: August 26, 2025

Related Concept Videos

Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
Coronary Artery Disease V: Interprofessional Care01:27

Coronary Artery Disease V: Interprofessional Care

Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
Angina IV: Management01:26

Angina IV: Management

IntroductionThe management of angina requires a comprehensive approach that includes pharmacological therapies, medical procedures, and lifestyle modifications.Pharmacological TherapiesAntiplatelet agents, such as aspirin, clopidogrel, prasugrel, and ticagrelor, play a pivotal role in preventing thrombus formation in patients with angina. These medications inhibit platelet aggregation and reduce the likelihood of myocardial infarction and other cardiovascular events.Anticoagulants, including...
Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...