Treatment of Budd-Chiari syndrome by metallic stent as a bridge to liver transplantation.
A 49-year-old male with Budd-Chiari syndrome complicated by liver cirrhosis and intractable ascites is reported. The left hepatic vein was stenosed by a short subocclusive ostial web; the right and medial hepatic veins were thrombosed. A spontaneous intrahepatic portosystemic shunt had developed between the left portal and left hepatic veins. After ineffective balloon angioplasty, the left hepatic venous outflow was restored by placement of a 10-mm-diameter Wallstent across the web via a femoral approach. The hepatic venous pressure dropped from 29 to 12 mmHg. Rapid clinical improvement followed. The patient underwent liver transplantation 3 months later in stable condition.
Martin
L
L
Department of Medical Imaging, University Hospital Sart Tilman, Domaine Universitaire du Sart Tilman, Liège, Belgium.
Dondelinger
R F
RF
Trotteur
G
G
D006502:Budd-Chiari Syndrome / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D006503:Hepatic Veins / Q000000981:diagnostic imaging; D006801:Humans; D016031:Liver Transplantation; D008297:Male; D008875:Middle Aged; D011859:Radiography; D015607:Stents