Treatment of Budd-Chiari Syndrome with Percutaneous Transluminal Angioplasty: Report of a Case

Abstract

We report the successful treatment of Budd-Chiari syndrome (BCS) due to an obstruction of the hepatic veins. A 19-year-old man developed bleeding esophageal and gastric varices, and a large amount of ascites was thus caused by portal hypertension. BCS complicated by an obstruction of the major hepatic veins was diagnosed after examinations. We performed percutaneous transluminal angioplasty (PTA). This resulted in a great improvement of BCS, a marked decrease in the pressure of the hepatic veins, and the disappearance of ascites. Restenosis occurred at 1 year and 5 years after the initial angioplasty, for which PTA was repeatedly performed. Nine years after the initial treatment, no stenosis has been observed and the patient has shown a favorable outcome.

Budd–Chiari syndrome: Long‐term effect on outcome with transjugular intrahepatic portosystemic shunt

“…Angioplasty showed excellent long‐term results in six patients. Use of angioplasty has been reported in at least 50 patients with BCS 4,29 , 30 . Most of the cases have not had long‐term follow up.…”

“…Use of angioplasty has been reported in at least 50 patients with BCS. 4,29,30 Most of the cases have not had long-term follow up. However, stenosis almost invariably recurred and required repeated dilatation.…”

Successful Treatment of Budd-Chiari Syndrome With Percutaneous Transluminal Balloon Angioplasty

“…These include transjugular intrahepatic portosystemic shunts (TIPS), balloon dilatation angioplasty, and liver transplantation [10][11][12]. Selection of the treatment option depends on the aetiology of BCS, the location and length of the obstruction and the physical status of the patient [11].…”

“…Although the risk of PTBA is low and there is a high incidence of restenosis after successful treatment [12]. It has been reported that an absence of anticoagulants after successful PTBA may cause restenosis [14].…”

Budd–Chiari syndrome in a child due to a membranous web of the inferior vena cava resolved by systemic and local recombinant tissue plasminogen activator treatment

“…In recent years, several percutaneous techniques have been reported for treating BCS, including angioplasty, stenting with endoprostheses, and transjugular intrahepatic portosystemic shunt [8][9][10][11]. In recent years, several percutaneous techniques have been reported for treating BCS, including angioplasty, stenting with endoprostheses, and transjugular intrahepatic portosystemic shunt [8][9][10][11].…”