Budd-Chiari syndrome: current options in interventional radiology treatmentexemplified by three selected cases.
Anna Kwaśniewska-Rutczyńska, Leopold Bakoń, Magdalena Januszewicz, Tadeusz Wróblewski, Marek Krawczyk, Olgierd Rowiński
Med Sci Monit 2006; 12(1): CS4-12
Background: Budd-Chiari syndrome (BCS) is rare clinical state characterizedby stenosis or complete obstruction of hepatic veins. Currently, interventional radiology techniquesare more frequently used as a single method of treatment or as a bridge to liver transplantation. CaseReport: This study presents current interventional radiology techniques used in BCS treatment. Dependingon the etiology of BCS, two main techniques are used: the transjugular intrahepatic portocaval shunt(TIPS) or percutaneous angioplasty (PTA) of the stenosed hepatic veins. Our first case was treated byPTA of the stenosed ostium of the hepatic vein. In the second, BCS was complicated by portal vein thrombosisand a TIPS was placed along with portal vein fibrynolysis. In the third case the TIPS was used as a singleinterventional radiological treatment. Conclusions: TIPS placement or angioplasty of hepatic vein ostiumstenosis allow the successful treatment of BCS or an extension of the period of waiting for a liver transplantation.
Keywords: Angioplasty, Balloon, Angiography, Adult, Budd-Chiari Syndrome - surgery, Female, Hepatic Veins - surgery, Humans, Portasystemic Shunt, Transjugular Intrahepatic, Radiography, Interventional, Tomography, X-Ray Computed, Treatment Outcome