title: Outcome of non surgical hepatic decompression procedures in Egyptian patients with Budd-Chiari.
abstract: OBJECTIVE
  To evaluate outcome of patients with Budd-Chiari syndrome after balloon angioplasty ± stenting or transjugular intrahepatic portosystemic shunt (TIPS).
  
  
  METHODS
  Twenty five patients with Budd-Chiari syndrome admitted to Ain Shams University Hospitals, Tropical Medicine Department were included. Twelve patients (48%) with short segment occlusion were candidates for angioplasty; with stenting in ten cases and without stenting in two. Thirteen patients (52%) had Transjugular Intrahepatic Portosystemic Shunt. Patients were followed up for 12-32 mo.
  
  
  RESULTS
  Patency rate in patients who underwent angioplasty ± stenting was 83.3% at one year and at end of follow up. The need of revision was 41.6% with one year survival of 100%, dropped to 91.6% at end of follow up. In patients who had Transjugular Intrahepatic Portosystemic Shunt, patency rate was 92.3% at one year, dropped to 84.6% at end of follow up. The need of revision was 38.4% with one year and end of follow up survival of 100%. Patients with patent shunts showed marked improvement compared to those with occluded shunts.
  
  
  CONCLUSIONS
  Morbidity and mortality following angioplasty ± stenting and TIPS are low with satisfactory outcome. Proper patient selection and management of shunt dysfunction are crucial in improvement.
authors.affiliation: Department of Radiodiagnosis and Interventional Radiology, Faculty of Medicine, Ain Shams University, Cairo 11341, Egypt.
authors.forename: Ahmed
authors.initials: A
authors.lastname: Eldorry
authors.forename: Eman
authors.initials: E
authors.lastname: Barakat
authors.forename: Heba
authors.initials: H
authors.lastname: Abdella
authors.forename: Sara
authors.initials: S
authors.lastname: Abdelhakam
authors.forename: Mohamed
authors.initials: M
authors.lastname: Shaker
authors.forename: Amr
authors.initials: A
authors.lastname: Hamed
authors.forename: Mohammad
authors.initials: M
authors.lastname: Sakr
mesh_terms: D000293:Adolescent; D000328:Adult; D000800:Angioplasty, Balloon; D006502:Budd-Chiari Syndrome / Q000208:ethnology* / Q000401:mortality / Q000628:therapy*; D004534:Egypt; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D019168:Portasystemic Shunt, Transjugular Intrahepatic; D011446:Prospective Studies; D015607:Stents; D015996:Survival Rate; D016896:Treatment Outcome; D055815:Young Adult