| Budd-Chiari syndrome caused by obstruction of the hepatic inferior vena cava: immediate and 2-year treatment results of transluminal angioplasty and metallic stent placement. | |
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MedLine Citation:
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PMID: 8653743 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To assess the usefulness of percutaneous transluminal angioplasty (PTA) and expandable metallic stent (EMS) placement for treatment of Budd-Chiari syndrome (BCS). METHODS: Thirty-two patients with BCS were treated by PTA alone or by PTA and EMS placement. Among the 32 patients, a membranous obstruction was found in 24 and a segmental stenosis or occlusion in 8 patients. The follow-up period for PTA was 38-68 months (mean 52.2 months); for EMS it was 20-36 months (mean 24.3 months). RESULTS: Twenty-one patients underwent PTA as the primary treatment. Of these, one patient died of disseminated intravascular coagulation shortly after the procedure; 20 had good to excellent initial angiographic and clinical results. Of the 20, restenosis or reocclusion developed in 10 patients (48%), all before 27 months; 8 patients (38%) became symptomatic, and 2 remained symptom-free for a total recurrent obstruction rate of 50%. The EMS group of 17 patients included 11 patients who underwent primary stenting and 6 patients with secondary stenting after recurrence following primary PTA; restenosis was demonstrated in only 2 patients (12%). CONCLUSIONS: We conclude that PTA alone produces excellent short-term results and about 50% sustained patency after 2 years in patients with BCS; therefore it should remain the procedure of first choice. Stents should be reserved for primary or secondary PTA failures. |
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Authors:
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K Xu; F X He; H G Zhang; X T Zhang; M J Han; C R Wang; M Kaneko; M Takahashi; T Okawada |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Cardiovascular and interventional radiology Volume: 19 ISSN: 0174-1551 ISO Abbreviation: Cardiovasc Intervent Radiol Publication Date: 1996 Jan-Feb |
Date Detail:
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Created Date: 1996-07-30 Completed Date: 1996-07-30 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8003538 Medline TA: Cardiovasc Intervent Radiol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 32-6 Citation Subset: IM |
Affiliation:
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Department of Radiology, First Teaching Hospital of China Medical University, Shenyang, China. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Angioplasty, Balloon / instrumentation* Budd-Chiari Syndrome / etiology, radiography, therapy* Constriction, Pathologic / radiography, therapy Equipment Design Female Follow-Up Studies Humans Liver / blood supply* Male Middle Aged Phlebography Recurrence Stents* Tomography, X-Ray Computed Vena Cava, Inferior* / radiography |
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