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Treatment of Budd-Chiari syndrome with inferior vena cava thrombosis

Ruihua Wang1, Qingyi Meng, Lifeng Qu

  • 1Department of Vascular Surgery, Jinan Central Hospital, Shandong University, Jinan 250021, P.R. China ; Department of Vascular Surgery, Shandong Provincial Hospital, Shandong University, Jinan 250021, P.R. China.

Experimental and Therapeutic Medicine
|April 19, 2013
PubMed

Insights

Budd-Chiari syndrome (BCS) with inferior vena cava (IVC) thrombosis treatment outcomes show interventional therapy is highly effective for acute cases. Conservative treatment had poorer results, highlighting the importance of classification in guiding therapy selection for BCS patients.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Hepatology

Background:

  • Budd-Chiari syndrome (BCS) involves inferior vena cava (IVC) thrombosis, a complex condition requiring tailored treatment.
  • Effective management strategies for BCS with IVC thrombosis are crucial for patient outcomes.

Purpose of the Study:

  • To evaluate the clinical safety and feasibility of therapeutic approaches for Budd-Chiari syndrome (BCS) with inferior vena cava (IVC) thrombosis.
  • To assess treatment outcomes based on a classification system for BCS patients.

Main Methods:

  • Retrospective analysis of 41 patients diagnosed with BCS and IVC thrombosis.
  • Classification of patients into three types of BCS.
  • Comparison of outcomes for interventional therapy, conservative treatment, and surgical shunts.

Main Results:

  • Interventional therapy was successful in 96.6% of 29 patients, with no major complications like pulmonary embolism.
  • Conservative treatment in 7 patients resulted in 3 deaths (gastrointestinal bleeding, liver/kidney failure).
  • Surgical shunts were used in 6 patients, with outcomes not detailed but implied as an alternative for specific types.

Conclusions:

  • The classification of BCS with IVC thrombosis aids in selecting appropriate therapeutic strategies.
  • Interventional therapy is the preferred first-line treatment for acute BCS types I, II, and III.
  • For type III BCS with obsolete thrombus, surgical shunts or conservative management are indicated.

Keywords:
Budd-Chiari syndromeclassificationinferior vena cavathrombosis

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