Budd-Chiari Syndrome: Early Intervention With Angioplasty and Thrombolytic Therapy

JEFFREY W. FRANK, PATRICK S. KAMATH, ANTHONY W. STANSON

Research output: Contribution to journalArticle

37 Scopus citations

Abstract

We present a complex case of the Budd-Chiari syndrome due to thrombosis of the hepatic veins in the presence of stenosis of the left hepatic vein and membranous obstruction of the inferior vena cava. The acute thrombosis occurred after laparoscopic surgical removal of the gallbladder. Because we strongly suspected the Budd-Chiari syndrome, hepatic venography was performed. The hepatic venous outflow obstruction was relieved by angioplasty and thrombolytic therapy with use of local infusions of urokinase into the clot. We propose that angiography be performed in patients in whom the Budd-Chiari syndrome is suspected and that angioplasty and thrombolytic therapy be initiated early.

Original languageEnglish (US)
Pages (from-to)877-881
Number of pages5
JournalMayo Clinic proceedings
Volume69
Issue number9
DOIs
StatePublished - 1994

Keywords

  • AST
  • CT
  • IVC
  • MOVC
  • aspartate aminotransferase
  • computed tomographic
  • inferior vena cava
  • membranous obstruction of the inferior vena cava

ASJC Scopus subject areas

  • Medicine(all)

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