2012
DOI: 10.1007/s00246-012-0188-9
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Percutaneous Recanalization of an Occluded Hepatic Vein in a Difficult Subset of Pediatric Budd-Chiari Syndrome

Abstract: We present a 3-year-old child with Budd Chiari syndrome having idiopathic complete occlusion of all three major hepatic veins and small hepatic venules. Adequate antegrade flow in right hepatic vein was established by transfemoral balloon angioplasty followed by stenting of the same. Long term antiplatelet therapy was instituted. Medium term follow up reveals satisfactory antegrade flow and regression of symptoms. This strategy highlights an effective nonsurgical approach of restoring physiological pattern of … Show more

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Cited by 7 publications
(3 citation statements)
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“…In cases of hepatic veins, at least 2 of the veins should be occluded for it to manifest clinically. 11 In some cases, however, 2 or 3 veins may be occluded without any symptoms if the veins are occluded in a stepwise manner with simultaneous development of collaterals. 12 Thus patient may be asymptomatic.…”
Section: Pathophysiologymentioning
confidence: 99%
See 1 more Smart Citation
“…In cases of hepatic veins, at least 2 of the veins should be occluded for it to manifest clinically. 11 In some cases, however, 2 or 3 veins may be occluded without any symptoms if the veins are occluded in a stepwise manner with simultaneous development of collaterals. 12 Thus patient may be asymptomatic.…”
Section: Pathophysiologymentioning
confidence: 99%
“…Nodules that occur are usually benign and pathologically divided into regenerative nodules, nodular regenerative hyperplasia, or adenomatous hyperplastic nodules. 11 These cannot be differentiated from malignant nodules on imaging alone and may seem hypoechoic, isoechoic, or hyperechoic. Follow-up imaging for lesion growth and correlation with alpha feto protein levels may be required (Fig.…”
Section: B-mode Findings Livermentioning
confidence: 99%
“…Finally, the path module represents a significant pathway in the context of the disease, which is not studied comprehensively. The platelet activation, signaling and aggregation pathway is a therapeutic target for the treatment of Budd–Chiari syndrome [52] . von Willebrand factor (vWF) [53] and SerpinA1 [54] , two peripheral sub-network proteins that were recently described as markers of abnormalities of coagulation play roles in provoking thrombosis [55] .…”
Section: Case Study 1: Analysis Of a Bibliometric Networkmentioning
confidence: 99%