Use of Accessory Hepatic Vein Intervention in the Treatment of Budd–Chiari Syndrome

Fu, Yu‐Fei; Wei, Ning; Wu, Qian; Zhang, Qingqiao; Cui, Yanfeng; Xu, Hao

doi:10.1007/s00270-015-1105-4

Cited by 12 publications

(22 citation statements)

References 14 publications

(48 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…While in Asia, approximately 11-28 % of BCS patients are HV-type BCS patients [1,5]. The purpose of MHV/AHV recanalization is to relieve AHV accessory hepatic vein, MHV main hepatic vein, MO membranous obstruction, SO segmental obstruction liver congestion, relieve patients' symptoms, and improve liver functions [7][8][9][10][11][12][13]. In this study, we performed single MHV/AHV recanalization for our patients.…”

Section: Discussionmentioning

confidence: 94%

“…The AHV stem diameter was measured from the results of MRA/CTA. A compensatory AHV is defined as an AHV with its stem C5 mm [9]. If the patient had a compensatory but obstructed AHV, the obstruction length of the AHV was also measured by MRA/CTA.…”

Section: Diagnosis and Preoperative Evaluationmentioning

confidence: 99%

“…If MHV recanalization fails, a transjugular intrahepatic portosystemic shunt (TIPS) should be considered [8]. However, along with the in-depth research involving the AHV in BCS, AHV recanalization can be an effective method for HV-type BCS patients with a compensatory AHV [9][10][11]. Recently, the long-term outcome of percutaneous recanalization for HV-type BCS was still not known.…”

Section: Introductionmentioning

confidence: 97%

“…Budd-Chiari syndrome (BCS) is a rare disease characterized by hepatic venous outflow obstruction [1][2][3][4][5][6][7][8][9][10][11]. According to the different obstructed sites, the BCS is divided into three types: (1) inferior vena cava (IVC)-type BCS is defined as IVC obstruction with at least one patent main hepatic vein (MHV); (2) hepatic vein (HV)-type BCS is defined as obstruction of the three MHVs; (3) combinedtype BCS is defined as obstruction of both the IVC and three MHVs [1].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Percutaneous recanalization for hepatic vein-type Budd-Chiari syndrome: long-term patency and survival

Cui

et al. 2015

Hepatol Int

Self Cite

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 94%

Section: Diagnosis and Preoperative Evaluationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Percutaneous recanalization for hepatic vein-type Budd-Chiari syndrome: long-term patency and survival

Cui

et al. 2015

Hepatol Int

Self Cite

View full text Add to dashboard Cite

show abstract

“…If recanalization fails, then the next step is to attempt a TIPS (4). However, TIPS may be considered the first-line treatment in the case of long segmental obstruction with diminutive intrahepatic veins due to high failure rates of recanalization in these settings (5). Hepatic vein recanalization and balloon angioplasty could traditionally be performed with or without subsequent stent placement, but stenting has been shown to decrease the restenosis rate and has become standard practice (6).…”

Section: Discussionmentioning

confidence: 99%

Single-access liver floss technique with antegrade hepatic vein access and recanalization in Budd-Chiari syndrome

Weaver

Dobrow

Hsu

et al. 2018

Diagn Interv Radiol

View full text Add to dashboard Cite

B udd-Chiari syndrome encompasses a variety of conditions, all characterized by hepatic outflow obstruction but heterogeneous in etiology and morphology of venous occlusion as well as clinical manifestations of hepatic congestion. Prompt, appropriate treatment improves prognosis. A transjugular intrahepatic portosystemic shunt (TIPS) may be created to manage sequelae of portal hypertension and provide a bridge to transplant if significant hepatic injury has occurred. Liver transplant may be the sole treatment option if the disease is identified in late stages. When early in the disease process, however, parenchymal damage may be mitigated by reestablishing hepatic venous outflow which has classically been achieved by transjugular or percutaneous transhepatic access approaches when transjugular approaches prove infeasible. TECHNIQUEA 14-year-old male presented with a 6-month history of progressive exercise intolerance and abdominal distension. Evaluation at an outside hospital identified massive ascites and concluded with a provisional diagnosis of cirrhosis on the basis of ascites and the abnormal appearance of the liver on abdominal computed tomography (CT). The patient was subsequently transferred to our institution for further evaluation. On presentation, he was found to have a tense and distended abdomen without other signs of liver failure. Initial serologic workup including liver enzymes, ceruloplasmin, alpha-1 antitrypsin pi typing, autoimmune hepatitis serologies, and hepatitis B and C studies were negative, and he was referred to interventional radiology for paracentesis and transjugular liver biopsy.Right internal jugular vein access was obtained. Attempts to cannulate the hepatic veins were unsuccessful despite several catheter configurations. A single plane digital subtraction cavogram was acquired, notable for the absence of reflux into normal hepatic veins at the level of the venous confluence (Fig. 1a). Additional evaluation of the inferior vena cava (IVC) and tributaries was performed with axial intravascular ultrasound (Volcano Visions PV .035, Philips), demonstrating the absence of right (RHV), middle (MHV) and left hepatic veins (LHV) at the hepatic vein confluence. An engorged caudate vein was identified, connecting to the IVC via a small orifice. A 5 French (F) angled hydrophilic catheter (Glidecath, Terumo) and 0.035-inch hydrophilic guidewire (Glidewire, Terumo) were introduced and used to cannulate the identified orifice and were subsequently advanced into the right intrahepatic venous system. Planar digital subtraction venogram (Fig. 1b) I N T E R V E N T I O N A L R A D I O LO G Y T E C H N I C A L N OT EABSTRACT A 14-year-old boy presented with several months of increasing abdominal girth and fatigue. Imaging confirmed massive ascites and hepatic congestion secondary to central hepatic venous obstruction. Several large intrahepatic collateral veins were seen draining via caudate and emissary veins. After an unsuccessful attempt at retrograde recanalization utilizing intravascular ultr...

show abstract

Recanalization of accessory hepatic vein for hepatic vein-type Budd–Chiari syndrome

et al. 2021

View full text Add to dashboard Cite

Use of Accessory Hepatic Vein Intervention in the Treatment of Budd–Chiari Syndrome

Abstract: Compensatory AHV can be effectively used instead of HV for drainage of hepatic blood in patients with BCS. AHV intervention can help to simplify the BCS treatment procedure.

Cited by 12 publications

References 14 publications

Percutaneous recanalization for hepatic vein-type Budd-Chiari syndrome: long-term patency and survival

Percutaneous recanalization for hepatic vein-type Budd-Chiari syndrome: long-term patency and survival

Single-access liver floss technique with antegrade hepatic vein access and recanalization in Budd-Chiari syndrome

Recanalization of accessory hepatic vein for hepatic vein-type Budd–Chiari syndrome

Contact Info

Product

Resources

About