Accessory hepatic vein recanalization for treatment of Budd-Chiari syndrome due to long-segment obstruction of the hepatic vein: initial clinical experience
PURPOSEWe aimed to investigate the feasibility and effectiveness of accessory hepatic vein recanalization (balloon dilatation/stent insertion) for patients with Budd-Chiari syndrome (BCS) due to long-segment obstruction of the hepatic vein.METHODSFrom March 2010 to December 2013, 20 consecutive pati...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Galenos Publishing House
2015-03-01
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| Series: | Diagnostic and Interventional Radiology |
| Online Access: |
http://www.dirjournal.org/archives/archive-detail/article-preview/accessory-hepatic-vein-recanalization-for-treatmen/55896
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| _version_ | 1797691177177186304 |
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| author | Yu-Fei Fu Hao Xu Ke Zhang Qing-Qiao Zhang Ning Wei |
| author_facet | Yu-Fei Fu Hao Xu Ke Zhang Qing-Qiao Zhang Ning Wei |
| author_sort | Yu-Fei Fu |
| collection | DOAJ |
| description | PURPOSEWe aimed to investigate the feasibility and effectiveness of accessory hepatic vein recanalization (balloon dilatation/stent insertion) for patients with Budd-Chiari syndrome (BCS) due to long-segment obstruction of the hepatic vein.METHODSFrom March 2010 to December 2013, 20 consecutive patients with BCS, due to long-segment obstruction of three hepatic veins, treated with accessory hepatic vein recanalization (11 males, 9 females; mean age, 33.4±10.9 years; range, 22–56 years) were included in this retrospective study. Data on technical success, clinical success, and follow-up were collected and analyzed.RESULTSTechnical and clinical success was achieved in all patients. Each patient was managed with a single accessory hepatic vein recanalization procedure. No procedure-related complications occurred. The diameter of the accessory hepatic vein was 8.45±1.47 mm (6–11 mm) at the stem, and there were many collateral circulations between the hepatic vein and the accessory hepatic vein. The mean pressure of accessory hepatic vein decreased from 47.50±5.59 cm H2O before treatment to 28.80±3.47 cm H2O after treatment (P < 0.001). Abnormal levels of total bilirubin, albumin, aspartate aminotransferase, and alanine transaminase improved after the treatment. During the follow-up, three patients experienced restenosis or stenting of the accessory hepatic vein.CONCLUSIONSIn BCS due to long-segment obstruction of the hepatic veins, it is important to confirm whether there is a compensatory accessory hepatic vein. For patients with a compensatory but obstructed accessory hepatic vein, recanalization is a simple, safe, and effective treatment option. |
| first_indexed | 2024-03-12T02:10:33Z |
| format | Article |
| id | doaj.art-d016b6c2ef4b4531a58111d0d4885019 |
| institution | Directory Open Access Journal |
| issn | 1305-3825 1305-3612 |
| language | English |
| last_indexed | 2024-03-12T02:10:33Z |
| publishDate | 2015-03-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Diagnostic and Interventional Radiology |
| spelling | doaj.art-d016b6c2ef4b4531a58111d0d48850192023-09-06T13:50:03ZengGalenos Publishing HouseDiagnostic and Interventional Radiology1305-38251305-36122015-03-0121214815310.5152/dir.2014.1412813049054Accessory hepatic vein recanalization for treatment of Budd-Chiari syndrome due to long-segment obstruction of the hepatic vein: initial clinical experienceYu-Fei Fu0Hao Xu1Ke Zhang2Qing-Qiao Zhang3Ning Wei4 Department of Interventional Radiology, The Affiliated Hospital of Xuzhou Medical College, Jiangsu, China. Department of Interventional Radiology, The Affiliated Hospital of Xuzhou Medical College, Jiangsu, China. Department of Interventional Radiology, The Affiliated Hospital of Xuzhou Medical College, Jiangsu, China. Department of Interventional Radiology, The Affiliated Hospital of Xuzhou Medical College, Jiangsu, China. Department of Interventional Radiology, The Affiliated Hospital of Xuzhou Medical College, Jiangsu, China. PURPOSEWe aimed to investigate the feasibility and effectiveness of accessory hepatic vein recanalization (balloon dilatation/stent insertion) for patients with Budd-Chiari syndrome (BCS) due to long-segment obstruction of the hepatic vein.METHODSFrom March 2010 to December 2013, 20 consecutive patients with BCS, due to long-segment obstruction of three hepatic veins, treated with accessory hepatic vein recanalization (11 males, 9 females; mean age, 33.4±10.9 years; range, 22–56 years) were included in this retrospective study. Data on technical success, clinical success, and follow-up were collected and analyzed.RESULTSTechnical and clinical success was achieved in all patients. Each patient was managed with a single accessory hepatic vein recanalization procedure. No procedure-related complications occurred. The diameter of the accessory hepatic vein was 8.45±1.47 mm (6–11 mm) at the stem, and there were many collateral circulations between the hepatic vein and the accessory hepatic vein. The mean pressure of accessory hepatic vein decreased from 47.50±5.59 cm H2O before treatment to 28.80±3.47 cm H2O after treatment (P < 0.001). Abnormal levels of total bilirubin, albumin, aspartate aminotransferase, and alanine transaminase improved after the treatment. During the follow-up, three patients experienced restenosis or stenting of the accessory hepatic vein.CONCLUSIONSIn BCS due to long-segment obstruction of the hepatic veins, it is important to confirm whether there is a compensatory accessory hepatic vein. For patients with a compensatory but obstructed accessory hepatic vein, recanalization is a simple, safe, and effective treatment option. http://www.dirjournal.org/archives/archive-detail/article-preview/accessory-hepatic-vein-recanalization-for-treatmen/55896 |
| spellingShingle | Yu-Fei Fu Hao Xu Ke Zhang Qing-Qiao Zhang Ning Wei Accessory hepatic vein recanalization for treatment of Budd-Chiari syndrome due to long-segment obstruction of the hepatic vein: initial clinical experience Diagnostic and Interventional Radiology |
| title | Accessory hepatic vein recanalization for treatment of Budd-Chiari syndrome due to long-segment obstruction of the hepatic vein: initial clinical experience |
| title_full | Accessory hepatic vein recanalization for treatment of Budd-Chiari syndrome due to long-segment obstruction of the hepatic vein: initial clinical experience |
| title_fullStr | Accessory hepatic vein recanalization for treatment of Budd-Chiari syndrome due to long-segment obstruction of the hepatic vein: initial clinical experience |
| title_full_unstemmed | Accessory hepatic vein recanalization for treatment of Budd-Chiari syndrome due to long-segment obstruction of the hepatic vein: initial clinical experience |
| title_short | Accessory hepatic vein recanalization for treatment of Budd-Chiari syndrome due to long-segment obstruction of the hepatic vein: initial clinical experience |
| title_sort | accessory hepatic vein recanalization for treatment of budd chiari syndrome due to long segment obstruction of the hepatic vein initial clinical experience |
| url |
http://www.dirjournal.org/archives/archive-detail/article-preview/accessory-hepatic-vein-recanalization-for-treatmen/55896
|
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