Management of hepatic venous outflow obstruction (Budd Chiari Syndrome): Balloon angioplasty with or without the use of a stent

✍ Scribed by Kaul, Upendra ;Agarwal, Rajiv

• Publisher: John Wiley and Sons
• Year: 1997
• Tongue: English
• Weight: 6 KB
• Volume: 42
• Category: Article
• ISSN: 0098-6569
• DOI: 10.1002/(sici)1097-0304(199710)42:2<240::aid-ccd39>3.0.co;2-p

✦ Synopsis

We read with interest the letter written by Tsung O. Cheng regarding the experience of balloon dilatation for membranous obstruction of inferior vena cava (MOVC) with a very low restenosis rate, as well as their article on the same subject [1,2].

The good short-term and long-term results of balloon angioplasty in MOVC with short and sub total lesions are well known, and we have reported them previously [3,4]. In our recently published study, we have highlighted that the use of stents is extremely useful in a ''select'' patient population with idiopathic hepatic venous outflow obstruction [5]; namely, patients with previous restenosis, total occlusion, and poor results after balloon angioplasty. This population, according to our previously reported experience, does not achieve good long-term results after simple balloon angioplasty [6].

Like Yang-X-L et al.

[2], we also recommend balloon angioplasty for simple cases of MVOC where a good result can be achieved, but there are a significant number of patients of this disease for whom good results cannot be achieved by balloon angioplasty alone, such as in the case of other vascular interventions.