Skip to main content
SpringerLink
Log in

Interventional therapeutic techniques in Budd-Chiari syndrome

  • Clinical Investigations
  • Published:
CardioVascular and Interventional Radiology Aims and scope Submit manuscript

Abstract

Purpose

To analyze the results obtained with percutaneous therapeutic procedures in patients with Budd-Chiari syndrome (BCHS).

Methods

Between August 1991 and April 1993, seven patients with BCHS were treated in our hospital. Three presented with a congenital web; in another three cases the hepatic veins and/or the inferior vena cava (IVC) were compromised after major hepatic surgery; one patient presented with a severe stenosis of the intrahepatic IVC due to hepatomegaly.

Results

One of the patients with congenital web has required several new dilatations due to restenosis; one patient required a transjugular intrahepatic portosystemic shunt procedure while awaiting a liver transplantation. The two postsurgical patients with stenosed hepatic veins did not require any new procedure after the placement of metallic endoprostheses. However, the patient with liver transplantation presented IVC restenosis after balloon angioplasty that required the deployment of metallic endoprostheses. In the patient with hepatomegaly a self-expandable prosthesis was placed in the intrahepatic portion of the IVC before (4 months) a liver transplantation.

Conclusion

Interventional therapeutic techniques offer a wide variety of possibilities for the treatment of patients with BCHS. For IVC stenoses, the results obtained with balloon angioplasty are at least as good as those obtained with surgery.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Stanley P (1989) Budd-Chiari syndrome. Radiology 170:625–627

    PubMed  CAS  Google Scholar 

  2. Venbrux AC, Savader SJ, Mitchell SE, Osterman FA (1994) Interventional management of Budd-Chiari syndrome. Semin Intervent Radiol 11:312–320

    Google Scholar 

  3. Ono J, Sakoda K, Kawada T (1983) Membranous obstruction of the inferior vena cava. Ann Surg 197:454–458

    Article  PubMed  CAS  Google Scholar 

  4. Yamazaki Y, Eguchi S, Terashima M, Maruyama Y, Yazawa M, Fujita Y, Tsukada K (1988) Inferior vena caval obstruction: Transvenous instrumental membranotomy. Cardiovasc Intervent Radiol 11:18–20

    Article  PubMed  CAS  Google Scholar 

  5. Park JH, Chung JW, Han JK, Han MC (1994) Interventional management of benign obstruction of the hepatic inferior vena cava. J Vasc Intervent Radiol 5:403–409

    CAS  Google Scholar 

  6. Yamada R, Sato M, Tsuji K, Kishi K, Terada M, Shioyama Y, Sonomura T, Nomura S, Yang R-J (1993) Percutaneous transluminal angioplasty for segmental obstruction of the hepatic inferior vena cava. Semin Intervent Radiol 10:8–13

    Article  Google Scholar 

  7. Blum U, Rössle M, Haag K, Ochs A, Blum HE, Hauenstein KH, Astinet F, Langer M (1995) Budd-Chiari syndrome: Technical hemodhnamic and clinical results of treatment with transjugular intrahepatic portosystemic shunt. Radiology 197:805–811

    PubMed  CAS  Google Scholar 

  8. Hirooka M, Kimura C (1970) Membranous obstruction of the inferior vena cava: Surgical correction and etiological study. Arch Surg 100:656–663

    PubMed  CAS  Google Scholar 

  9. Yamada R, Sato M, Kawabata M, Nakatuka H, Nakamura K, Kobayashi N (1983) Segmental obstruction of the hepatic inferior vena cava treated by transluminal angioplasty. Radiology 149:91–96

    PubMed  CAS  Google Scholar 

  10. Uflacker R, Francisconi CF, Rodriguez MP, Amaral NM (1984) Percutaneous transluminal angioplasty of the hepatic veins for treatment of Budd-Chiari syndrome. Radiology 153:641–642

    PubMed  CAS  Google Scholar 

  11. Furui S, Yamauchi T, Ohtomo K, Tsuchiya K, Makita K, Takenaka E (1988) Hepatic inferior vena cava obstructions: Clinical results of treatment with percutaneous transluminal laser-assisted angioplasty. Radiology 166:673–677

    PubMed  CAS  Google Scholar 

  12. Martin L, Dondelinger RF, Trotteur G (1995) Treatment of Budd-Chiari syndrome by metallic stents as a bridge to liver transplantation. Cardiovasc Intervent Radiol 18:196–199

    Article  PubMed  CAS  Google Scholar 

  13. Klein AS, Cameron JL (1990) Diagnosis and management of Budd-Chiari syndrome. Am J Surg 160:128–133

    Article  PubMed  CAS  Google Scholar 

  14. Simó G, Echenagusía A, Camúñez F, Quevedo P, Calleja IJ, Ferreiroa JP, Bañares R (1995) Stenosis of the inferior vena cava after liver transplantation: Treatment with Gianturco expandable metallic stents. Cardiovasc Intervent Radiol 18:212–216

    Article  PubMed  Google Scholar 

  15. Venbrux AC, Mitchell SE, Savader SJ, Lund GB, Trerotola SO, Newman JS, Klein AS, Mitchell MC, Rösch J, Uchida BT, Osterman FA (1994) Long-term results with the use of metallic stents in the inferior vena cava for treatment of Budd-Chiari syndrome. J Vasc Intervent Radiol 5:411–416

    CAS  Google Scholar 

  16. Lois JF, Hartzman S, McGlade CT, Gomes AS, Grant EC, Berquist W, Perrella RR, Busuttil RW (1989) Budd-Chiari syndrome: Treatment with percutaneous transhepatic recanalization and dilatation. Radiology 170:791–793

    PubMed  CAS  Google Scholar 

  17. Walker HS, Rholl KS, Register TE, vanBreda A (1990) Percutaneous placement of a hepatic vein stent in the treatment of Budd-Chiari syndrome. J Vasc Intervent Radiol 1:23–27

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Radiology, Clínica Universitaria, Facultad de Medicina, Universidad de Navarra, Avenida Pio XII no. 36, E-31008, Pamplona, Spain

    José Ignacio Bilbao, Jesús Ciro Pueyo, Jesús María Longo, Mercedes Arias, Alberto Benito, María Dolores Barettino & Juan Pablo Perotti

  2. Department of Internal Medicine, Clínica Universitaria, Facultad de Medicina, Universidad de Navarra, Avenida Pio XII no. 36, E-31008, Pamplona, Spain

    José Ignacio Herrero

  3. Department of Surgery, Clínica Universitaria, Facultad de Medicina, Universidad de Navarra, Avenida Pio XII no. 36, E-31008, Pamplona, Spain

    Fernando Pardo

Authors
  1. José Ignacio Bilbao
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Jesús Ciro Pueyo
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Jesús María Longo
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Mercedes Arias
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. José Ignacio Herrero
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Alberto Benito
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. María Dolores Barettino
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Juan Pablo Perotti
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Fernando Pardo
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bilbao, J.I., Pueyo, J.C., Longo, J.M. et al. Interventional therapeutic techniques in Budd-Chiari syndrome. Cardiovasc Intervent Radiol 20, 112–119 (1997). https://doi.org/10.1007/s002709900117

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/s002709900117

Key words

Search

Navigation