Budd-Chiari syndrome: current options in interventional radiology treatment exemplified by three selected cases.
BACKGROUND
Budd-Chiari syndrome (BCS) is rare clinical state characterized by stenosis or complete obstruction of hepatic veins. Currently, interventional radiology techniques are more frequently used as a single method of treatment or as a bridge to liver transplantation.


METHODS
This study presents current interventional radiology techniques used in BCS treatment. Depending on the etiology of BCS, two main techniques are used: the transjugular intrahepatic portocaval shunt (TIPS) or percutaneous angioplasty (PTA) of the stenosed hepatic veins. Our first case was treated by PTA of the stenosed ostium of the hepatic vein. In the second, BCS was complicated by portal vein thrombosis and a TIPS was placed along with portal vein fibrynolysis. In the third case the TIPS was used as a single interventional radiological treatment.


CONCLUSIONS
TIPS placement or angioplasty of hepatic vein ostium stenosis allow the successful treatment of BCS or an extension of the period of waiting for a liver transplantation.
Kwaśniewska-Rutczyńska
Anna
A
II Department of Clinical Radiology at Medical Academy in Warsaw, Banacha Street 1a, 02-091 Warsaw, Poland.
Bakoń
Leopold
L
Januszewicz
Magdalena
M
Wróblewski
Tadeusz
T
Krawczyk
Marek
M
Rowiński
Olgierd
O
D000328:Adult; D000792:Angiography; D000800:Angioplasty, Balloon; D006502:Budd-Chiari Syndrome / Q000601:surgery*; D005260:Female; D006503:Hepatic Veins / Q000473:pathology / Q000601:surgery; D006801:Humans; D019168:Portasystemic Shunt, Transjugular Intrahepatic; D015641:Radiography, Interventional; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome