Prognosis in Budd Chiari syndrome after re-establishing hepatic venous drainage

Valla, D.-C.
June 2006
Gut;Jun2006, Vol. 55 Issue 6, p761
Academic Journal
The article explores the survival chances of patients treated for Budd Chiari syndrome (BCS) using interventional radiology. The outcome of some patients with primary BCS treated percutaneously with repermeation or transjugular intrahepatic porto-systemic shunting (TIPS) was examined. In other patients, TIPS was performed whenever medical therapy alone failed to control manifestations. Four patients were treated with repermeation and TIPS, while eight patients had a surgical shunt after repermeation. Interventional radiology was reported to prevent patients from requiring liver transplantation in the medium term. None of the patients managed through the "all interventional radiology" strategy since 1999 required a liver transplant, while most of them survived.


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