Budd-Chiari syndrome (BCS) describes a variety of clinical conditions that result in outflow obstruction of hepatic venous return to the right heart, ultimately leading to liver failure and death if left untreated. The authors present successful management to 24 months of a patient with BCS by radiologic interventional techniques that included percutaneous transluminal angioplasty and placement of metallic stents.
Get full access to this article
View all access options for this article.
References
1.
1. Murphy FB, Steinberg HV, Shires III GT, et al: The Budd-Chiari syndrome: A review. Am J Radiol147:9-15, 1986.
2.
2. Ludwig J, Hashimoto E, McGill DB, et al: Classification of hepatic venous outflow obstruction: Ambiguous terminology of the Budd-Chiari syndrome. Mayo Clin Proc65:51-55, 1990.
3.
3. Equchi S, Takeuchi Y, Asano KA: Successful balloon membranotomy for obstruction of the hepatic portion of the inferior vena cava. Surgery76:837-840, 1974.
4.
4. Cameron JL, Madrey WC: Mesoatrial shunt: A new treatment for the Budd-Chiari syndrome. Ann Surg187:402-406, 1978.
6. Klein AS, Cameron JL: Diagnosis and management of the Budd-Chiari syndrome. Am J Surg160:128-133, 1990.
7.
7. Hirooka M, Kimura C: Membranous obstruction of the hepatic portion of the inferior vena cava: Surgical correction and etiological study. Arch Surg100:6566-6663, 1970.
8.
8. Makuuchi M, Hasegawa H, Yamazaki S, et al: Primary Budd-Chiari syndrome: Ultrasonic demonstration. Radiology152:775-779, 1984.
9.
9. Menu Y, Alison D, Lorphelin JM, et al: Budd-Chiari syndrome: Ultrasound evaluation. Radiology157:761-764, 1985.
10.
10. Grant EG, Perrella R, Tessler FN, et al: Budd-Chiari syndrome: The results of duplex and color Doppler imaging. Am J Radiol152:377-381, 1989.
11.
11. Millener P, Grant EG, Rose S, et al: Color Doppler imaging findings in patients with Budd-Chiari syndrome: Correlation with venographic findings. Am J Radiol161:307-312, 1993.
12.
12. Pompili M, Rapaccini GL, Teofili L, et al: Ultrasound-Doppler diagnosis of Budd-Chiari syndrome. J Clin Gastroenterol12:591-594, 1990.
13.
13. Meier WL III, Waller RM III, Sones PJ: Budd-Chiari web treated by percutaneous transluminal angioplasty. Am J Radiol137:1257-1258, 1981.
14.
14. Uflacher R, Francisconi CF, Rodriguez M, et al: Percutaneous transluminal angioplasty of hepatic veins for treatment of Budd-Chiari syndrome. Audiology153:641-642, 1984.
15.
15. Walker HS, Rholl KS, Register TE, et al: Percutaneous placement of a hepatic vein stent in the treatment of Budd-Chiari syndrome. JVIR1:23-27, 1990.
16.
16. Martin LG, Henderson JM, Millikan WJ Jr, et al: Angioplasty for long term treatment of patients with Budd-Chiari syndrome. Am J Radiol154:1007-1010, 1990.
17.
17. Furui S, Sawada S, Irie T, et al: Hepatic inferior vena cava obstruction: Treatment of two types with gianturco expandable metallic stents. Radiology176:665-670, 1990.
18.
18. Fujimoto M, Moriyasu F, Someda H, et al: Budd-Chiari syndrome: Recanalization of an occluded hepatic vein with percutaneous transluminal angioplasty and a metallic stent. JVIR4:257-261, 1993.
19.
19. Peltzer MY, Ring EJ, LaBarge JM, et al: Treatment of Budd-Chiari syndrome with a transjugular intrahepatic portosystemic shunt: JVIR4:263-267, 1993.
