title: Endovascular treatment of Budd-Chiari syndrome: Single center experience.
abstract: OBJECTIVE
  Percutaneous radiologic interventions are increasingly being used in management of Budd-Chiari syndrome (BCS). Minimal invasive approach has resulted in excellent long-term outcomes. We evaluated the treatment efficacy and safety of radiological intervention in patients with BCS.
  
  
  METHODS
  Between January 2008 and June 2014, 190 patients with BCS underwent endovascular procedures (hepatic vein, collateral vein or inferior vena cava [IVC] plasty with or without stenting, or transjugular intrahepatic portosystemic shunting [TIPSS]). Clinical features, biochemical profile, and stent patency were monitored pre-procedure and post-procedure, and for a median duration of 42 (12-88) months.
  
  
  RESULTS
  Of 190 patients (mean [SD] age = 26.9 [11.5] years; 102 men), imaging revealed hepatic vein obstruction in 147 patients, IVC obstruction in 40 patients, and concomitant hepatic vein and IVC obstruction in three patients. At presentation, the radiological interventions included hepatic vein plasty/stenting in 38 patients, collateral vein stenting in three patients, IVC plasty/stenting in 40 patients, both IVC and hepatic vein stenting in three patients, and TIPSS in 106 patients. Response was seen in 153 patients (80.5%). Repeat interventions were required in 19 patients (10.0%). Complications were noted in nine patients (4.7%).
  
  
  CONCLUSIONS
  Our study demonstrates that venous recanalization and TIPSS for BCS are safe and efficacious.
authors.affiliation: Department of Radiology, Seth Gordhandas Sunderdas Medical College and King Edward Memorial Hospital, Mumbai, India.
authors.forename: Krantikumar
authors.initials: K
authors.lastname: Rathod
authors.affiliation: Department of Radiology, Seth Gordhandas Sunderdas Medical College and King Edward Memorial Hospital, Mumbai, India.
authors.forename: Hemant
authors.initials: H
authors.lastname: Deshmukh
authors.affiliation: Department of Gastroenterology, Seth Gordhandas Sunderdas Medical College and King Edward Memorial Hospital, Mumbai, India.
authors.forename: Akash
authors.initials: A
authors.lastname: Shukla
authors.affiliation: Department of Radiology, Seth Gordhandas Sunderdas Medical College and King Edward Memorial Hospital, Mumbai, India.
authors.forename: Bhavesh
authors.initials: B
authors.lastname: Popat
authors.affiliation: Department of Radiology, Seth Gordhandas Sunderdas Medical College and King Edward Memorial Hospital, Mumbai, India.
authors.forename: Ankur
authors.initials: A
authors.lastname: Pandey
authors.affiliation: Department of Gastroenterology, Seth Gordhandas Sunderdas Medical College and King Edward Memorial Hospital, Mumbai, India.
authors.forename: Amit
authors.initials: A
authors.lastname: Gupte
authors.affiliation: Department of Gastroenterology, Seth Gordhandas Sunderdas Medical College and King Edward Memorial Hospital, Mumbai, India.
authors.forename: Deepak Kumar
authors.initials: DK
authors.lastname: Gupta
authors.affiliation: Department of Gastroenterology, Seth Gordhandas Sunderdas Medical College and King Edward Memorial Hospital, Mumbai, India.
authors.forename: Shobna J
authors.initials: SJ
authors.lastname: Bhatia
mesh_terms: D000328:Adult; D006502:Budd-Chiari Syndrome / Q000000981:diagnostic imaging / Q000601:surgery*; D003251:Constriction, Pathologic; D057510:Endovascular Procedures / Q000379:methods*; D005260:Female; D006503:Hepatic Veins / Q000000981:diagnostic imaging / Q000473:pathology; D006801:Humans; D008297:Male; D019168:Portasystemic Shunt, Transjugular Intrahepatic; D015607:Stents; D016896:Treatment Outcome; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging / Q000473:pathology; D055815:Young Adult
keywords: Budd-Chiari syndrome; TIPSS; endovascular procedures