Percutaneous Transhepatic Hepatic Vein Angioplasty in Budd-Chiari Syndrome After Transvenous Failure

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Yonghua BiXinwei Han

Abstract

To evaluate the safety and efficacy of percutaneous transhepatic route creation for hepatic vein (HV) angioplasty in Budd-Chiari syndrome (BCS). Between April 2012 and August 2016, a total of 19 BCS patients underwent percutaneous transhepatic route creation for HV angioplasty after transvenous catheterization failure in this study. Color Doppler ultrasonography was required in all patients after admission and during follow-up. Data were retrospectively collected, and follow-up observations were performed. Technical and clinical success was achieved in 18 patients. Except for 1 failure of route creation, 19 routes were successfully created in 18 patients, with a technology success rate of 95.0%. Twenty-two balloon angioplasties were performed in 18 patients, with a mean balloon diameter of 13.6 ± 0.5 mm. Blood pressure and length of occlusive HV decreased significantly, and blood flow velocity and diameter of HV increased significantly after procedure. Abdominal distension/pain and ascites decreased significantly after procedure. One procedure-related death occurred, who died of gastrointestinal bleeding 6 days later. Except for the failure case, the rest of 18 patients were successfully followed up. The remaining 18 patients s...Continue Reading

References

Nov 8, 2003·World Journal of Gastroenterology : WJG·Chun-Qing ZhangJu-Ren Zhu
Feb 10, 2004·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Sarwa Darwish MuradHarry L A Janssen
Jan 25, 2008·Cardiovascular and Interventional Radiology·David Beckett, Simon Olliff
Sep 25, 2008·Seminars in Liver Disease·Aurélie Plessier, Dominique-Charles Valla
Feb 6, 2013·World Journal of Hepatology·Anders Bay NeumannHenning Grønbæk
May 17, 2014·Diagnostic and Interventional Radiology : Official Journal of the Turkish Society of Radiology·Ahmad ParvinianRon C Gaba
Dec 17, 2014·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Hong-Fei Sang, Xiao-Qiang Li
Mar 10, 2016·European Journal of Gastroenterology & Hepatology·Kerstin RosenqvistRickard Nyman
May 26, 2016·Digestive Diseases and Sciences·Xinxin FanJieshou Li

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Citations

Jul 22, 2020·Digestive Diseases and Sciences·A SharmaC E Eapen
Feb 3, 2021·Journal of Vascular Surgery. Venous and Lymphatic Disorders·Yonghua BiJianzhuang Ren

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