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©The Author(s) 2020.
World J Clin Cases. Jul 26, 2020; 8(14): 2930-2941
Published online Jul 26, 2020. doi: 10.12998/wjcc.v8.i14.2930
Published online Jul 26, 2020. doi: 10.12998/wjcc.v8.i14.2930
PTA alone (n = 40) | PTA + stent (n = 20) | |
Demographic data | ||
Male | 22 (55%) | 18 (90%) |
Female | 18 (45%) | 2 (10%) |
Age (yr)1 | 36 (14-68) | 37 (15-80) |
Duration of symptoms | ||
≤ 1 mo | 7 (17.5%) | 4 (20%) |
1-6 mo | 6 (15%) | 6 (30%) |
≥ 6 mo | 27 (67.5%) | 10 (50%) |
Clinical manifestations | ||
Abdominal distention | 18 (45%) | 9 (45%) |
Abdominal wall varicosis | 21 (52.5%) | 11 (55%) |
Lower-extremity edema | 22 (55%) | 13 (65%) |
Gastroesophageal variceal bleeding | 3 (7.5%) | 6 (30%) |
Laboratory tests1 | ||
Hemoglobin level (g/L) | 130 (65-180) | 134 (80-168) |
Platelet count (× 109/L) | 105 (46-306) | 130 (33-209) |
Alanine transaminase level (× ULN) | 0.6 (0.2-28) | 0.6 (0.2-13) |
Albumin level (g/L) | 38 (22-50) | 36 (26-58) |
Total bilirubin level (μmol/L) | 29 (11-132) | 29 (8-148) |
International normalized ratio | 1.3 (1.0-1.9) | 1.4 (0.9-2.9) |
Creatinine level (μmol/L) | 66 (41-254) | 79 (33-157) |
Imaging features | ||
Type of obstruction | ||
HV | 8 (20%) | 1 (5%) |
IVC | 5 (12.5%) | 6 (30%) |
Com | 27 (67.5%) | 13 (65%) |
Pattern of IVC obstruction | ||
No obstruction | 8 (20%) | 1 (5%) |
Membranous | 30 (75%) | 9 (45%) |
Segmental | 2 (5%) | 2 (10%) |
Long segmental | 0 (2.5%) | 8 (40%) |
Ascites | 17 (42.5%) | 11 (55%) |
AHV compensatory | 7 (17.5%) | 5 (25%) |
IVC thrombosis | 11 (27.5%) | 11 (55%) |
Prognostic index | ||
Child-Pugh score1 | 7 (5-11) | 7 (5-11) |
Child-Pugh class | ||
A | 18 (45%) | 4 (20%) |
B | 20 (50%) | 12 (60%) |
C | 2 (5%) | 4 (20%) |
Primary recanalization | Management | Death | Remission | Non-remission |
PTA alone 40 | PTA alone 19 (47.5%) | HCC 2 (5%), variceal bleeding 2 (5%), liver or multiple organ failure 1 (2.5%) | 14 (35%) | 0 |
PTA + stent 8 (20%) | HCC 1 (2.5%), liver or multiple organ failure 1 (2.5%), intracranial hemorrhage induced by hypertension 1 (2.5%), accidental death 1 (2.5%) | 4 (10%) | 0 | |
Untreated 13 (32.5%) | Liver or multiple organ failure 5 (12.5%), variceal bleeding 1 (2.5%), DIC 1 (2.5%) | 2 (5%) | Abdominal distension 3 (7.5%), lower-extremity edema 1 (2.5%) | |
PTA + stent 20 | PTA alone 10 (50%) | Liver or multiple organ failure 1 (5%) | 9 (45%) | 0 |
PTA + stent 1 (5%) | 0 | 1 (5%) | 0 | |
Untreated 9 (45%) | HCC 1 (5%), variceal bleeding 2 (10%), liver or multiple organ failure 4 (20%), hepatic encephalopathy 2 (10%) | 0 | 0 |
- Citation: Zhang W, Tian YL, Wang QZ, Chen XW, Li QY, Han JH, Chen XD, Xu K. Restenosis after recanalization for Budd-Chiari syndrome: Management and long-term results of 60 patients. World J Clin Cases 2020; 8(14): 2930-2941
- URL: https://www.wjgnet.com/2307-8960/full/v8/i14/2930.htm
- DOI: https://dx.doi.org/10.12998/wjcc.v8.i14.2930