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Balloon dilatation for treatment of hepatic venous outflow obstruction following pediatric liver transplantation

World Journal of Gastroenterology 2017年第46期23卷 8227-8234页

作者： Zhi-Yuan Zhang Long Jin Guang Chen Tian-Hao Su Zhi-Jun Zhu Li-Ying Sun Zhen-Chang Wang Guo-Wen Xiao Department of Interventional Radiology Beijing Friendship HospitalCapital Medical University Department of Transplantation Surgery Beijing Friendship HospitalCapital Medical University Department of Radiology Beijing Friendship HospitalCapital Medical University

AIM To assess the efficacy and safety of balloon dilatation for the treatment of hepatic venous outflow obstruction(HVOO) following pediatric liver *** A total of 246 pediatric patients underwent liver transplantation at our hospital between June 2013 and September 2016. Among these patients, five were ultimately diagnosed with HVOO. Seven procedures(two patients underwent two balloon dilatation procedures) were included in this analysis. The demographic data,types of donor and liver transplant, interventional examination and therapeutic outcomes of these five children were analyzed. The median interval time between pediatric liver transplantation and balloon dilatation procedures was 9.8 mo(range: 1-32).RESULTS Five children with HVOO were successfully treated by balloon angioplasty without stent placement, with seven procedures performed for six stenotic lesions. All children underwent successful percutaneous intervention. Among these five patients, four were treated by single balloon angioplasty, and these patients did not develop recurrent stenosis. In seven episodes of balloon angioplasty across the stenosis, the pressure gradient was 12.0 ± 8.8 mm Hg before balloon dilatation and 1.1 ± 1.5 mm Hg after the procedures, which revealed a statistically significant reduction(P venous angioplasty is also recommended in cases with recurrent HVOO.

关键词： hepatic venous outflow obstruction Pediatric liver transplantation Percutaneous transluminal balloon dilatation Pressure gradient Recurrent

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Tailoring stepwise treatment for Budd-Chiari syndrome: insights from the Asian Pacific Association for the Study of the Liver (APASL) consensus guidance

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Hepatobiliary Surgery and Nutrition 2023年第1期12卷 118-120页

作者： Lamia Y.Haque Joseph K.Lim Section of Digestive Diseases Department of Internal MedicineYale School of MedicineNew HavenCTUSA

Budd-Chiari syndrome(BCS)is a rare disease consisting of obstruction of the hepatic venous outflow tract,which can occur at any level ranging from small hepatic veins to the inferior vena cava(1-4).BCS can result from intravascular thrombosis or membranous obstruction of the hepatic venous outflow tract,or,less commonly,due to external compression from tumors,nodules,abscesses,cysts,or other intrahepatic lesions(1-3).

关键词： Budd-Chiari syndrome(BCS) hepatic venous outflow obstruction anticoagulation transjugular intrahepatic portosystemic shunts(TIPS) surgery liver transplantation guidelines

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