ArticleDiagnostic and interventional radiology (Ankara, Turkey)
Accessory hepatic vein recanalization for treatment of Budd-Chiari syndrome due to long-segment obstruction of the hepatic vein: initial clinical experience.
Article in Diagnostic and interventional radiology (Ankara, Turkey). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.
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7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.
- Accessory hepatic vein recanalization for Budd-Chiari syndrome: a systematic review and meta-analysis.BMC gastroenterology · 2023Pooled it
- Evaluation of outcome from endovascular therapy for Budd-Chiari syndrome: a systematic review and meta-analysis.Scientific reports · 2022Pooled it
- Budd-Chiari syndrome: consensus guidance of the Asian Pacific Association for the study of the liver (APASL).Hepatology international · 2021Article
- Hepatic vein variations in 500 patients: surgical and radiological significance.The British journal of radiology · 2019Article
- Observational
- Endovascular treatment for hepatic vein-type Budd-Chiari syndrome: effectiveness and long-term outcome.La Radiologia medica · 2018Article
- Single-access liver floss technique with antegrade hepatic vein access and recanalization in Budd-Chiari syndrome.Diagnostic and interventional radiology (Ankara, Turkey)Article
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Authors and funding
5 authors at 1 institution in 1 country.
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Abstract
purposeWe aimed to investigate the feasibility and effectiveness of accessory hepatic vein recanalization (balloon dilatation/stent insertion) for patients with Budd-Chiari syndrome (BCS) due to long-segment obstruction of the hepatic vein.
methodsFrom March 2010 to December 2013, 20 consecutive patients with BCS, due to long-segment obstruction of three hepatic veins, treated with accessory hepatic vein recanalization (11 males, 9 females; mean age, 33.4±10.9 years; range, 22-56 years) were included in this retrospective study. Data on technical success, clinical success, and follow-up were collected and analyzed.
resultsTechnical and clinical success was achieved in all patients. Each patient was managed with a single accessory hepatic vein recanalization procedure. No procedure-related complications occurred. The diameter of the accessory hepatic vein was 8.45±1.47 mm (6-11 mm) at the stem, and there were many collateral circulations between the hepatic vein and the accessory hepatic vein. The mean pressure of accessory hepatic vein decreased from 47.50±5.59 cm H2O before treatment to 28.80±3.47 cm H2O after treatment (P < 0.001). Abnormal levels of total bilirubin, albumin, aspartate aminotransferase, and alanine transaminase improved after the treatment. During the follow-up, three patients experienced restenosis or stenting of the accessory hepatic vein.
conclusionsIn BCS due to long-segment obstruction of the hepatic veins, it is important to confirm whether there is a compensatory accessory hepatic vein. For patients with a compensatory but obstructed accessory hepatic vein, recanalization is a simple, safe, and effective treatment option.
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