Rescue TIPS in Acute Budd-Chiari Syndrome

Abujudeh, Hani H.; Contractor, Daniel; delaTorre, Andrew; Koneru, Baburao

doi:10.2214/ajr.185.1.01850089

Cited by 9 publications

(4 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Intractable ascites may be treated by ultrasound-guided drainage. In addition, palliative juguloperitoneal shunting may be of value in such cases [27][28][29]. A TIPS procedure may benefit some patients [30,31].…”

Section: Radiological Contribution To Treatmentmentioning

confidence: 99%

Imaging of Budd-Chiari syndrome

et al. 2007

View full text Add to dashboard Cite

Budd-Chiari syndrome occurs when venous outflow from the liver is obstructed. The obstruction may occur at any point from the hepatic venules to the left atrium. The syndrome most often occurs in patients with underlying thrombotic disorders such as polycythemia rubra vera, paroxysmal nocturnal hemoglobinuria and pregnancy. It may also occur secondary to a variety of tumours, chronic inflammatory diseases and infections. Imaging plays an important role both in establishing the diagnosis of Budd-Chiari syndrome as well as evaluating for underlying causes and complications such as portal hypertension. In this review article, we discuss the role of modern imaging in the evaluation of Budd-Chiari syndrome.

show abstract

Section: Radiological Contribution To Treatmentmentioning

confidence: 99%

Imaging of Budd-Chiari syndrome

et al. 2007

View full text Add to dashboard Cite

show abstract

“…Anticoagulation therapy and diuretics are mostly suggested as conventional pharmacological treatment. In acute cases with severe liver failure, surgical interventions are recommended, such as intrahepatic portosystemic shunts and endovascular stenting, because the recovery of hepatic venous outflow is expected, 16 although some patients with shunts require salvage with liver transplantation later 17 …”

Section: Discussionmentioning

confidence: 99%

Case of Budd–Chiari syndrome 3 months after vaginal delivery

Hiroe¹,

Itoh

Matsumoto³

et al. 2008

J of Obstet and Gynaecol

View full text Add to dashboard Cite

Budd-Chiari syndrome is a rather unusual clinical situation caused by occlusion of the hepatic vein of inferior vena cava, the classical triad of which are abdominal pain, ascites and hepatomegaly. A 29-year-old gravida 3 para 1 woman delivered an immature male baby weighing 2172 g with an Apgar score of 9 points at 35 weeks and 3 days of gestation. She was transferred to the National Hospital Organization Osaka National Hospital 112 days after delivery due to the sudden development of massive ascites. Magnetic resonance angiography and enhanced computed tomography detected the occlusion by thrombosis of both the middle and left hepatic veins, so she was diagnosed with Budd-Chiari syndrome. Her protein C antigen and activity were 37% and 50%, respectively, corresponding to type 1 protein C deficiency. Conservative treatment by continuous oral treatment of spironolactone (25 mg/day), furosemide (20 mg/day) and prophylactic warfarin (2 mg/day) much improved the ascites.

show abstract

“…The success of TIPS in the emergent acute setting of BCS, or "rescue TIPS," has also been validated. 25 TIPS may also serve as a bridge to liver transplant in this patient population. 22 TIPS has the advantage over surgical side-to-side portocaval, mesocaval, and splenorenal portosystemic shunts in that it may bypass caval stenosis or thrombus.…”

Section: Budd-chiari Syndromementioning

confidence: 99%

Transjugular Intrahepatic Portosystemic Shunt: Indications, Contraindications, and Patient Work-Up

Copelan

Kapoor

Sands

2014

Semin intervent Radiol

View full text Add to dashboard Cite

The transjugular intrahepatic portosystemic shunt (TIPS) procedure is effective in achieving portal decompression and in managing some of the major complications of portal hypertension. While many clinicians are familiar with the two most common indications for TIPS placement, secondary prophylaxis of esophageal variceal hemorrhage and treatment of refractory ascites, evidence for its usefulness is growing in other entities, where it has been less extensively studied but demonstrates promising results. Newer indications include early utilization in the treatment of esophageal variceal hemorrhage, Budd?Chiari syndrome, ectopic varices, and portal vein thrombosis. The referring clinician and interventionist must remain cognizant of the contraindications to the procedure to avoid complications and potential harm to the patient. This review is designed to provide an in-depth analysis of the most common as well as less typical indications for TIPS placement, and to discuss the contraindications and appropriate patient evaluation for this procedure.

show abstract

Rescue TIPS in Acute Budd-Chiari Syndrome

Cited by 9 publications

References 9 publications

Imaging of Budd-Chiari syndrome

Imaging of Budd-Chiari syndrome

Case of Budd–Chiari syndrome 3 months after vaginal delivery

Transjugular Intrahepatic Portosystemic Shunt: Indications, Contraindications, and Patient Work-Up

Contact Info

Product

Resources

About