Successful emergency treatment with a transjugular intrahepatic portosystemic shunt for life-threatening Budd-Chiari syndrome with portal thrombotic obstruction

被引：0

作者：

Watanabe, H ^{[1
]}

Shinzawa, H ^{[1
]}

Saito, T ^{[1
]}

Ishibashi, M ^{[1
]}

Shirahata, N ^{[1
]}

Miyano, S ^{[1
]}

Haga, H ^{[1
]}

Aoki, M ^{[1
]}

Mitsuhashi, H ^{[1
]}

Matsuo, T ^{[1
]}

Abe, T ^{[1
]}

Saito, K ^{[1
]}

Yamada, N ^{[1
]}

Togashi, H ^{[1
]}

Takahashi, T ^{[1
]}

机构：

[1] Yamagata Univ, Sch Med, Dept Internal Med 2, Yamagata 9909585, Japan

来源：

HEPATO-GASTROENTEROLOGY | 2000年 / 47卷 / 33期

关键词：

Budd-Chiari syndrome; portal venous thrombosis; polycythemia vera; transjugular intrahepatic portosystemic shunt; tissue plasminogen activator;

D O I：

暂无

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

We report successful treatment of acute severe Budd-Chiari syndrome with portal venous thrombosis. The prognosis of patients with this condition is poor, because the therapeutic options are limited. A 38-year-old woman with polycythemia vera was admitted in a critical condition, and Budd-Chiari syndrome complicated by portal venous thrombosis was diagnosed. Tissue plasminogen activator and urokinase were infused systemically and were partially effective. Transjugular intrahepatic portosystemic shunting to reduce the high portal venous pressure was performed successfully and, eventually, her general condition improved. Our experience indicates that emergency transjugular intrahepatic portosystemic shunting is an effective therapeutic modality for controlling portal hypertension in patients with severe Budd-Chiari syndrome with portal venous thrombosis.

引用

页码：839 / 841

页数：3

共 10 条

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