Transjugular intrahepatic portosystemic shunt for Budd-Chiari syndrome: A comprehensive review.
Budd-Chiari syndrome (BCS) is a relatively rare clinical condition with a wide range of symptomatology, caused by the obstruction of the hepatic venous outflow. If left untreated, it has got an high mortality rate. Its management is based on a step-wise approach, depending on the clinical presentation, and includes different treatment from anticoagulation therapy up to Interventional Radiology techniques, such as transjugular intrahepatic portosystemic shunt (TIPS). TIPS is today considered a safe and highly effective treatment and should be recommended for BCS patients, including those awaiting orthotopic liver transplantation. In this review the pathophysiology, diagnosis and treatment options of BCS are presented, with a special focus on published data regarding the techniques and outcomes of TIPS for the treatment of BCS. Moreover, unresolved issues and future research will be discussed.
['Inchingolo|Riccardo|R|', 'Posa|Alessandro|A|', 'Mariappan|Martin|M|', 'Tibana|Tiago Kojun|TK|', 'Nunes|Thiago Franchi|TF|', 'Spiliopoulos|Stavros|S|', 'Brountzos|Elias|E|']
D006502:Budd-Chiari Syndrome D006503:Hepatic Veins D006801:Humans D016031:Liver Transplantation D019168:Portasystemic Shunt, Transjugular Intrahepatic D035583:Rare Diseases
Transjugular intrahepatic portosystemic shunt Budd-Chiari syndrome Interventional radiology Orthotopic liver transplantation Liver Portal hypertension