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Interventional therapeutic techniques in Budd-Chiari syndrome
J I Bilbao1, J C Pueyo, J M Longo
1Department of Radiology, Clínica Universitaria, Facultad de Medicina, Universidad de Navarra, Avenida Pio XII no. 36, E-31008 Pamplona, Spain.
Cardiovascular and Interventional Radiology
|March 1, 1997
Summary
Percutaneous therapeutic procedures effectively treat Budd-Chiari syndrome (BCHS). Balloon angioplasty and endoprostheses offer viable alternatives to surgery for inferior vena cava (IVC) stenoses in BCHS patients.
Area of Science:
- Interventional Radiology
- Hepatology
- Vascular Surgery
Background:
- Budd-Chiari syndrome (BCHS) involves hepatic venous outflow obstruction.
- Treatment options for BCHS have evolved with interventional techniques.
- Inferior vena cava (IVC) compromise is a significant complication in BCHS.
Purpose of the Study:
- To evaluate the outcomes of percutaneous therapeutic interventions for Budd-Chiari syndrome.
- To analyze the efficacy of various endovascular techniques in managing IVC stenosis and hepatic vein compromise.
- To compare interventional procedures with traditional surgical approaches for BCHS.
Main Methods:
- Retrospective analysis of seven BCHS patients treated between August 1991 and April 1993.
- Procedures included balloon angioplasty, metallic endoprosthesis placement, and transjugular intrahepatic portosystemic shunt (TIPS).
- Patient conditions included congenital webs, post-surgical IVC compromise, and IVC stenosis due to hepatomegaly.
Main Results:
- Successful management of post-surgical hepatic vein stenosis with metallic endoprostheses.
- One case of congenital web required repeat dilatations due to restenosis.
- IVC restenosis after angioplasty was successfully treated with endoprostheses; one patient received a self-expandable prosthesis prior to liver transplantation.
Conclusions:
- Percutaneous endovascular techniques provide diverse treatment options for Budd-Chiari syndrome.
- Balloon angioplasty yields results comparable to surgery for IVC stenoses in BCHS.
- Interventional radiology offers minimally invasive solutions for complex vascular challenges in BCHS.