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Budd-Chiari

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https://www.readbyqxmd.com/read/30098862/clinical-efficacy-of-spectral-computed-tomography-for-evaluating-liver-function-in-patients-with-budd-chiari-syndrome
#1
Lei Su, Lili Hu, Pan Liang, Yan Wu, Qiang Sun, Jianbo Gao
RATIONALE AND OBJECTIVES: To analyze the clinical relevance of quantitative spectral parameters in evaluating the treatment of patients with Budd-Chiari syndrome (BCS) with different classes of liver function by comparing normalized iodine concentration (NIC) before and after BCS treatment. MATERIALS AND METHODS: Angiographic data were obtained from 41 patients with confirmed BCS between December 2015 and March 2017. All patients underwent spectral computed tomography (CT) before and after BCS treatment; the average interval between scans was 2-4 months...
August 9, 2018: Academic Radiology
https://www.readbyqxmd.com/read/30080720/surgical-techniques-and-long-term-outcomes-of-living-donor-liver-transplantation-with-inferior-vena-cava-replacement-using-atriocaval-synthetic-interposition-graft-for-budd-chiari-syndrome
#2
Young-In Yoon, Sung-Gyu Lee, Deok-Bog Moon, Chul-Soo Ahn, Shin Hwang, Ki-Hun Kim, Tae-Yong Ha, Gi-Won Song, Dong-Hwan Jung, Gil-Chun Park, Dong-Sik Kim, Suk-Jung Choo
OBJECTIVE: We aimed to describe our living-donor liver transplantation (LDLT) surgical technique and its long-term patency for patients with Budd-Chiari syndrome (BCS) and retrohepatic inferior vena cava (IVC) obstruction that extends up to the atrium. BACKGROUND: From a technical perspective, LDLT for BCS with an IVC obstruction up to the right atrium is one of the most challenging surgical procedures. Consequently, the optimal surgical technique for patients with BCS has not yet been elucidated...
August 3, 2018: Annals of Surgery
https://www.readbyqxmd.com/read/30045395/transjugular-intrahepatic-portosystemic-shunt-tips-pathophysiologic-basics-actual-indications-and-results-with-review-of-the-literature
#3
REVIEW
Holger Strunk, Milka Marinova
BACKGROUND: Transjugular intrahepatic portosystemic shunt (TIPS) is a non-selective portosystemic shunt created using endovascular techniques. During recent years technical improvements and new insights into pathophysiology have modified indications for TIPS placement. In this article we therefore want to discuss current knowledge. METHOD: A literature review was performed to review and discuss the pathophysiology, indications and results of the TIPS procedure. RESULTS: Established TIPS indications are persistent bleeding despite combined pharmacological and endoscopic therapy and rebleeding during the first five days...
August 2018: RöFo: Fortschritte Auf Dem Gebiete der Röntgenstrahlen und der Nuklearmedizin
https://www.readbyqxmd.com/read/30036126/long-term-outcomes-of-endoluminal-sharp-recanalization-of-occluded-inferior-vena-cava-in-budd-chiari-syndrome
#4
Yonghua Bi, Zepeng Yu, Pengxu Ding, Jianzhuang Ren, Pengli Zhou, Xinwei Han
PURPOSE: To report the long-term results of endoluminal sharp recanalization of occluded inferior vena cava (IVC) in patients with the Budd-Chiari syndrome (BCS). PATIENTS AND METHODS: Seventy-two consecutive patients with BCS and IVC occlusion underwent endoluminal recanalization of the IVC occlusion during a 6-year period. BCS with occlusive IVC was detected by reviewing patient history and color Doppler ultrasonography. Data on technical success, morbidity, mortality, complications, and color Doppler sonographic outcome were collected and analyzed...
July 23, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/30031945/surgical-treatment-of-pulmonary-complications-in-beh%C3%A3-et-s-syndrome
#5
Hasan Tuzun, Emire Seyahi, Gul Guzelant, Buge Oz, Sebnem Batur, Ozkan Demirhan, Vedat Hamuryudan
We described disease characteristics, management and outcome of a group of Behçet's syndrome (BS) patients who underwent pulmonary lobectomy, segmentectomy or various pleura interventions for complications due to pulmonary artery or descending aorta involvement. There were 9 patients with BS (8 M/1 F; mean age: 24.8 ± 7.5 and mean disease duration: 4.3 ± 3.8 years) who underwent lung surgery from 2000 to 2017. Their medical files including operation details and radiological and pathological studies were reviewed retrospectively...
July 19, 2018: Seminars in Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/30030144/hepatic-vein-stenting-in-a-7-week-old-infant-with-budd-chiari-syndrome-using-an-anterograde-approach-from-the-inferior-accessory-hepatic-vein
#6
Roberto Miraglia, Luigi Maruzzelli, Settimo Caruso, Jean de Ville de Goyet
No abstract text is available yet for this article.
June 18, 2018: Digestive and Liver Disease
https://www.readbyqxmd.com/read/30028785/transplant-free-survival-in-chronic-liver-disease-presenting-as-acute-liver-failure-in-childhood
#7
Angelo Di Giorgio, Emanuele Nicastro, Davide Dalla Rosa, Gabriella Nebbia, Aurelio Sonzogni, Lorenzo D'Antiga
BACKGROUND: in adults, the absence of a preexisting chronic liver disease (CLD) is required to diagnose acute liver failure (ALF). The paediatric classification does not considered this aspect, thus previous studies pooled together children with ALF and children with unknown CLD presenting with acute hepatic decompensation (ALF-CLD). We aimed to compare prevalence, features and outcome of children with ALF-CLD to those with a proper ALF. METHODS: Patients admitted between 1996-2017 because of ALF defined by PALF criteria (raised transaminases, INR ≥2...
July 19, 2018: Transplantation
https://www.readbyqxmd.com/read/30014251/transjugular-intrahepatic-portosystemic-shunt-through-the-strut-of-a-previously-placed-stent-technical-feasibility-and-long-term-follow-up-results
#8
Munawwar Ahmed, Shyamkumar Nidugala Keshava, Vinu Moses, George Koshy Chiramel, Suraj Mammen, C E Eapen, Uday George Zachariah
AIMS AND OBJECTIVES: To evaluate technical feasibility, long-term primary patency and clinical outcome of the transjugular intrahepatic portosystemic shunt (TIPS) through the struts of the previously placed stents. MATERIALS AND METHODS: Retrospective evaluation of seven consecutive patients (three male and four female, age range 13-65 years, median 28) out of a total 95 patients, who underwent TIPS through the strut of the previously placed stents of hepatic vein (HV), inferior vena cava (IVC) or TIPS in a single tertiary care hospital...
July 16, 2018: Cardiovascular and Interventional Radiology
https://www.readbyqxmd.com/read/30004805/budd-chiari-syndrome-imaging-review
#9
Varun Bansal, Pankaj Gupta, Saroj Sinha, Narender Dhaka, Naveen Kalra, Rajesh Vijayvergiya, Usha Dutta, Rakesh Kochhar
Budd-Chiari syndrome (BCS), also known as hepatic venous outflow tract obstruction includes a group of conditions characterized by obstruction to the outflow of blood from the liver secondary to involvement of one or more hepatic veins (HVs), inferior vena cava (IVC) or the right atrium. There are a number of conditions that lead to BCS-ranging from hypercoagulable states to malignancies. In up to 25% patients, no underlying disorder is identified. Diagnosis of BCS is based on a combination of clinical and imaging features...
July 24, 2018: British Journal of Radiology
https://www.readbyqxmd.com/read/29984199/hypoxia-inducible-factor-may-induce-the-development-of-liver-fibrosis-in-budd-chiari-syndrome-by-regulating-cd248-endosialin-expression-a-hypothesis
#10
Ye Tian, Han Deng, Lei Han, Sijun Hu, Xingshun Qi
Budd-Chiari syndrome (BCS) leads to the development of liver fibrosis in most of the cases. However, the mechanism of BCS-related liver fibrosis is unclear, and it may be largely different from that induced by chronic viral hepatitis. Hepatic stellate cell (HSC) and its specific marker CD248/endosialin are known to play an important regulatory role in the development of liver fibrosis. Additionally, hypoxia microenvironment and hypoxia-inducible factor (HIF) are involved in the regulation of CD248/endosialin...
June 2018: Journal of Translational Internal Medicine
https://www.readbyqxmd.com/read/29971683/budd-chiari-syndrome-has-different-presentations-and-disease-severity-during-adolescence
#11
Akash Shukla, Pratin Bhatt, Deepak Kumar Gupta, Tejas Modi, Jatin Patel, Amit Gupte, Megha Meshram, Shobna Bhatia
There are limited data on clinical profile of adolescent patients with Budd-Chiari syndrome (BCS). We studied clinical, radiological, thrombophilia profile and treatment outcomes in adolescent patients with BCS. METHODS: Forty-three consecutive patients of BCS with onset of symptoms during adolescence (10-19 years) were enrolled in the study. 129 randomly selected adult patients with BCS and 36 children with BCS formed the two control groups. The clinical history, physical examination, laboratory tests, thrombophilic disorders, radiological features and treatment outcomes of adolescents were compared to adults and children...
July 3, 2018: Hepatology International
https://www.readbyqxmd.com/read/29959308/a-case-of-live-donor-liver-transplantation-in-acute-on-chronic-liver-failure-with-budd-chiari-syndrome-donor-and-recipient-with-antiphospholipid-antibody-syndrome
#12
Aiman Obed, Abdalla Bashir, Anwar Jarrad
BACKGROUND Acute-on-chronic liver failure was first defined within the last 10 years as acute decompensation of chronic liver disease accompanied by multiorgan failure and poor outcome. Budd-Chiari syndrome is a rare and potentially deadly hepatic condition. To the best of our knowledge, this is the first case report of a live liver donor recipient with antiphospholipid antibody syndrome. CASE REPORT A 47-year-old woman from Sudan with acute-on-chronic liver failure and subacute Budd-Chiari syndrome triggered by active pneumonia was evacuated to Amman, Jordan...
June 30, 2018: American Journal of Case Reports
https://www.readbyqxmd.com/read/29893705/pattern-of-vascular-involvement-in-egyptian-patients-with-budd-chiari-syndrome-relation-to-etiology-and-impact-on-clinical-presentation
#13
Mohammad A Sakr, Sara M Abdelhakam, Hany M Dabbous, Ahmed S Abdelmoaty, Hend E Ebada, Wael M Al-Banna, Mohamed S Ghazy, Mohamed E Aboelmaaty, Ahmed K Eldorry
INTRODUCTION AND AIM: Budd-Chiari syndrome (BCS) is caused by hepatic venous outflow obstruction. This work aims to analyze the pattern of vascular involvement in Egyptian patients with BCS, demonstrates its relation to etiology and shows its impact on clinical presentation. MATERIAL AND METHODS: The current retrospective study was conducted at The Tropical Medicine Department, Ain Shams University on one hundred Egyptian patients with confirmed diagnosis of primary BCS who were presented to the Budd-Chiari Study Group (BCSG) from April 2014 to May 2016 by collecting clinical, laboratory and radiological data from their medical records...
July 2018: Annals of Hepatology
https://www.readbyqxmd.com/read/29886492/pancreatic-cancer-in-pregnancy-presenting-with-thromboembolic-events-case-report-and-review-of-the-literature
#14
Brian W Wakefield, Crystal M C Masterson, Manuel T Borges, K Joseph Hurt
Stroke and hepatic vein thrombosis are highly associated with neoplasia but are extremely rare events in young, pregnant women. Rare and recurrent thrombotic events in pregnancy increase the suspicion for occult malignancy. We describe the case of a healthy 31-year-old G2P1 who presented with visual changes and dysarthria during pregnancy. Imaging showed cerebral infarcts. Her thrombophilia evaluation was negative. During delivery, she was diagnosed with fulminant Budd-Chiari Syndrome. Hepatic ultrasound suggested malignancy or metastasis, and postpartum CT scan and biopsy confirmed the diagnosis of Stage IV pancreatic cancer...
2018: Gynecologic and Obstetric Investigation
https://www.readbyqxmd.com/read/29866895/chronic-budd-chiari-syndrome
#15
Bhupinder Singh, Budnur C Srinivas
No abstract text is available yet for this article.
June 4, 2018: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
https://www.readbyqxmd.com/read/29851361/percutaneous-transhepatic-hepatic-vein-angioplasty-in-budd-chiari-syndrome-after-transvenous-failure
#16
Yonghua Bi, Hongmei Chen, Pengxu Ding, Pengli Zhou, Jianzhuang Ren, Xinwei Han
PURPOSE: To evaluate the safety and efficacy of percutaneous transhepatic route creation for hepatic vein (HV) angioplasty in Budd-Chiari syndrome (BCS). PATIENTS AND METHODS: Between April 2012 and August 2016, a total of 19 BCS patients underwent percutaneous transhepatic route creation for HV angioplasty after transvenous catheterization failure in this study. Color Doppler ultrasonography was required in all patients after admission and during follow-up. Data were retrospectively collected, and follow-up observations were performed...
May 31, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/29851172/comparison-of-retrievable-stents-and-permanent-stents-for-budd-chiari-syndrome-due-to-obstructive-inferior-vena-cava
#17
Yonghua Bi, Hongmei Chen, Pengxu Ding, Jianzhuang Ren, Xinwei Han
BACKGROUND AND AIM: The aim of this study is to compare long-term outcomes of retrievable stents (RSs) and permanent stents (PSs) for Budd-Chiari syndrome (BCS) due to long-segment obstructive inferior vena cava (IVC). METHODS: Between July 2000 and August 2016, 42 patients with BCS due to long-segment obstructive IVC were treated with RSs, and 41 patients were treated with PSs. The RSs were removed eventually after thrombus disappeared. Patients were subsequently followed up by color Doppler sonography or computed tomography scanning...
May 30, 2018: Journal of Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/29847588/real-time-shear-wave-elastography-swe-assessment-of-short-and-long-term-treatment-outcome-in-budd-chiari-syndrome-a-pilot-study
#18
Hong-Wei Wang, Hua-Ning Shi, Jia Cheng, Fang Xie, Yu-Kun Luo, Jie Tang
PURPOSE: The first aim of this study was to analyze the relationships between liver stiffness measurement, hepatic venous pressure and liver fibrosis. The second aim was to demonstrate the utility of real-time shear wave elastography for evaluation of Budd-Chiari syndrome patients before and after balloon hepatic venous angioplasty. MATERIALS AND METHODS: A total of 32 patients with Budd-Chiari syndrome slated for successful balloon angioplasty met the inclusion and exclusion criteria...
2018: PloS One
https://www.readbyqxmd.com/read/29804132/hepatocellular-nodules-in-vascular-liver-diseases
#19
REVIEW
Christine Sempoux, Charles Balabaud, Valérie Paradis, Paulette Bioulac-Sage
Hepatocellular nodules have been recognized in vascular liver diseases for a long time and mostly described and studied in the imaging literature. Some confusions in their identification and overlap in their definitions exist, especially in this specific clinical context. Pathology descriptions report the development of nodular regenerative hyperplasia, large regenerative nodule, and focal nodular hyperplasia, as adaptive responses of the liver parenchyma to the modified blood flow. True neoplastic hepatocellular nodules such as hepatocellular adenoma and hepatocellular carcinoma can also appear, mainly in Budd-Chiari syndrome, and have to be correctly diagnosed...
July 2018: Virchows Archiv: An International Journal of Pathology
https://www.readbyqxmd.com/read/29803757/the-epidemiology-of-budd-chiari-syndrome-in-france
#20
Isabelle Ollivier-Hourmand, Manon Allaire, Nathalie Goutte, Rémy Morello, Carine Chagneau-Derrode, Odile Goria, Jerôme Dumortier, Jean Paul Cervoni, Sébastien Dharancy, Nathalie Ganne-Carrié, Christophe Bureau, Nicolas Carbonell, Armand Abergel, Jean Baptiste Nousbaum, Rodolphe Anty, Hélène Barraud, Marie Pierre Ripault, Victor De Ledinghen, Anne Minello, Frédéric Oberti, Sylvie Radenne, Noelle Bendersky, Olivier Farges, Isabelle Archambeaud, Anne Guillygomarc'h, Marie Ecochard, Violaine Ozenne, Marie Noelle Hilleret, Eric Nguyen-Khac, Barbara Dauvois, Jean Marc Perarnau, Pascale Lefilliatre, Jean Jacques Raabe, Michel Doffoel, Jean Philippe Becquart, Eric Saillard, Dominique Valla, Thong Dao, Aurélie Plessier
INTRODUCTION: Epidemiological data is lacking on primary Budd-Chiari syndrome (BCS) in France. METHODS: Two approaches were used: (1) A nationwide survey in specialized liver units for French adults. (2) A query of the French database of discharge diagnoses screening to identify incident cases in adults. BCS associated with cancer, alcoholic/viral cirrhosis, or occurring after liver transplantation were classified as secondary. RESULTS: Approach (1) 178 primary BCS were identified (prevalence 4...
April 12, 2018: Digestive and Liver Disease
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