Budd-Chiari Syndrome in Autosomal Dominant Polycystic Kidney Disease: A Complication of Nephrectomy in Patients With Liver Cysts

Clive, David M.; Davidoff, Ashley; Schweizer, Robert T.

doi:10.1016/s0272-6386(12)81094-8

Cited by 24 publications

(27 citation statements)

References 8 publications

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“…On the other hand, the relation between Budd-Chiari syndrome and ADPKD has been well described (4). Surgical stress, such as nephrectomy or renal transplantation, might be a cause of mechanical stress on the IVC, and the relation between Budd-Chiari syndrome and these states has been previously reported (5,6). In the present case, we could not find any evidence of Budd-Chiari syndrome.…”

Section: Discussionsupporting

confidence: 43%

Thrombosis in Inferior Vena Cava (IVC) Due to Intra-cystic Hemorrhage into a Hepatic Local Cyst with Autosomal Dominant Polycystic Kidney Disease (ADPKD)

Iguchi

Kasai²,

Kishimoto

et al. 2004

Intern. Med.

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Section: Discussionsupporting

confidence: 43%

Thrombosis in Inferior Vena Cava (IVC) Due to Intra-cystic Hemorrhage into a Hepatic Local Cyst with Autosomal Dominant Polycystic Kidney Disease (ADPKD)

Iguchi

Kasai²,

Kishimoto

et al. 2004

Intern. Med.

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“…Several studies published in the 1990s suggested the phenomenon of Budd‐Chiari syndrome and HVOO in PLD patients . Uddin et al and Torres et al separately described, in 4 patients, HVOO pathological lesions with hemorrhagic mottling, sinusoidal dilatation and congestion, regenerative nodular hyperplasia, and HV and IVC thrombosis.…”

Section: Discussionmentioning

confidence: 99%

Polycystic liver disease: Hepatic venous outflow obstruction lesions of the noncystic parenchyma have major consequences

et al. 2018

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“…[32][33][34] Management of ascites is confounded by its multifactorial cause and the associated degree of renal dysfunction in patients with PLD. Hepatic resection or cyst fenestration may alleviate de novo ascites through the reduction of inferior venal caval or hepatic venous pressure gradients by removal of the sites of venous compression in the polycystic liver.…”

Section: Discussionmentioning

confidence: 99%

Inferior Vena Cava Stenting: A Safe and Effective Treatment for Intractable Ascites in Patients with Polycystic Liver Disease

Grams

Teh

Torres

et al. 2007

Journal of Gastrointestinal Surgery

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We performed a retrospective study of seven patients with polycystic liver disease who underwent stenting of the inferior vena cava for intractable ascites. All patients had symptomatic ascites and inferior vena cava stenosis demonstrable by venography. The mean pressure gradient across the inferior vena cava stenosis before stenting was 14.5 mm Hg (range 6-25 mm Hg) and significantly decreased to a mean pressure gradient of 2.8 mm Hg (range 0-6 mm Hg, p = 0.008) after stenting. Two patients also had stenting of hepatic venous stenoses after unsuccessful inferior vena cava stenting. After a mean follow-up of 12.2 months (range 0.5-39.1 months), five of the seven patients have had maintained clinical improvement, defined as decreased symptoms, diuretic requirements, and frequency of paracentesis. Four patients have required no further intervention. The other patient was lost in follow-up. Patients with clinical improvement had an overall larger mean pressure gradient before stenting (19.2 vs. 9.8 mm Hg) and a larger Delta pressure gradient (15.8 vs. 7.8 mm Hg) compared to those in whom stenting was unsuccessful. These results suggest inferior vena cava stenting is safe and effective and should be considered as a first-line intervention in the treatment of medically intractable ascites in select patients with polycystic liver disease.

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Budd-Chiari Syndrome in Autosomal Dominant Polycystic Kidney Disease: A Complication of Nephrectomy in Patients With Liver Cysts

Cited by 24 publications

References 8 publications

Thrombosis in Inferior Vena Cava (IVC) Due to Intra-cystic Hemorrhage into a Hepatic Local Cyst with Autosomal Dominant Polycystic Kidney Disease (ADPKD)

Thrombosis in Inferior Vena Cava (IVC) Due to Intra-cystic Hemorrhage into a Hepatic Local Cyst with Autosomal Dominant Polycystic Kidney Disease (ADPKD)

Polycystic liver disease: Hepatic venous outflow obstruction lesions of the noncystic parenchyma have major consequences

Inferior Vena Cava Stenting: A Safe and Effective Treatment for Intractable Ascites in Patients with Polycystic Liver Disease

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