REGULAR CONTENT
Final ID
650
Type
Educational Exhibit-Poster Only
Authors
S Punamiya1, D Amarapurkar2
Institutions
1Tan Tock Seng Hospital, Singapore, Singapore, 2Bombay Hospital, Mumbai, India
Purpose
To describe the use of a simplified algorithmic approach for the treatment of patients with chronic Budd–Chiari syndrome.
Materials & Methods
Budd–Chiari syndrome (BCS) is a complex disorder with various interventional treatment options, including recanalization of the hepatic venous outflow and transjugular intrahepatic portosystemic shunts. Significant variation in patient symptomatology and morphology of the obstructive hepatocaval lesion is encountered, based on which an appropriate treatment option is chosen. An algorithmic approach is useful when treating this wide disease spectrum.
Results
Eighty-nine consecutive patients with symptomatic chronic BCS were considered for interventional radiological treatment. Depending on the extent and morphology of occlusive disease, a stepwise treatment strategy was employed using various interventional procedures such as hepatic vein stenting, IVC stenting, complex hepato-caval stenting, TIPS, and IVC stenting combined with TIPS. A simplified algorithmic approach is described using these assorted treatment options in a systematic manner.
Conclusions
BCS is a complex disorder with variable treatment options that depends largely on the morphology of hepatic venous outflow obstruction. An excellent clinical outcome is obtained with the use of this simplified approach.
Final ID
650
Type
Educational Exhibit-Poster Only
Authors
S Punamiya1, D Amarapurkar2
Institutions
1Tan Tock Seng Hospital, Singapore, Singapore, 2Bombay Hospital, Mumbai, India
Purpose
To describe the use of a simplified algorithmic approach for the treatment of patients with chronic Budd–Chiari syndrome.
Materials & Methods
Budd–Chiari syndrome (BCS) is a complex disorder with various interventional treatment options, including recanalization of the hepatic venous outflow and transjugular intrahepatic portosystemic shunts. Significant variation in patient symptomatology and morphology of the obstructive hepatocaval lesion is encountered, based on which an appropriate treatment option is chosen. An algorithmic approach is useful when treating this wide disease spectrum.
Results
Eighty-nine consecutive patients with symptomatic chronic BCS were considered for interventional radiological treatment. Depending on the extent and morphology of occlusive disease, a stepwise treatment strategy was employed using various interventional procedures such as hepatic vein stenting, IVC stenting, complex hepato-caval stenting, TIPS, and IVC stenting combined with TIPS. A simplified algorithmic approach is described using these assorted treatment options in a systematic manner.
Conclusions
BCS is a complex disorder with variable treatment options that depends largely on the morphology of hepatic venous outflow obstruction. An excellent clinical outcome is obtained with the use of this simplified approach.