Budd-Chiari Syndrome

被引:88
作者
Ferral, Hector [1 ]
Behrens, George [2 ]
Lopera, Jorge [3 ]
机构
[1] NorthShore Univ HealthSyst, Sect Intervent Radiol, Dept Radiol, Evanston, IL 60201 USA
[2] Rush Univ, Med Ctr, Sect Intervent Radiol, Dept Radiol, Chicago, IL 60612 USA
[3] Univ Texas Hlth Sci Ctr San Antonio, Sect Intervent Radiol, Dept Radiol, San Antonio, TX 78229 USA
关键词
Budd-Chiari syndrome; stents; thrombolysis; transjugular intrahepatic portosystemic shunts; HEPATIC VEIN-THROMBOSIS; INFERIOR VENA-CAVA; LIVER-TRANSPLANTATION; EXPERIENCE; THROMBOLYSIS; THROMBECTOMY; MANAGEMENT; ETIOLOGY; SPECTRUM; TIPS;
D O I
10.2214/AJR.12.9098
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
OBJECTIVE. Budd-Chiari syndrome (BCS) is an uncommon condition characterized by obstruction of the hepatic venous outflow tract. Presentation may vary from a completely asymptomatic condition to fulminant liver failure. BCS is an example of postsinusoidal portal hypertension. The management can be divided into three main categories: medical, surgical, and endovascular. The purpose of this article is to present an overall perspective of the problem, diagnosis, and management. CONCLUSION. BCS requires accurate, prompt diagnosis and aggressive therapy. Treatment will vary depending on the clinical presentation, cause, and anatomic location of the problem. Patients with BCS are probably best treated in tertiary care centers where liver transplantation is available.
引用
收藏
页码:737 / 745
页数:9
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