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Transjugular intrahepatic portosystemic shunt for Budd-Chiari syndrome:A comprehensive review

查看全文 作　　者：Riccardo [1,2]Inchingolo;Alessandro [3]Posa;Martin [4]Mariappan;Tiago Kojun [5]Tibana;Thiago Franchi [5]Nunes;Stavros [6]Spiliopoulos;Elias [6]Brountzos 高影响力作者 机构地区：[1]Interventional Radiology Unit,'F.Miulli'Regional Hospital,Acquaviva delle Fonti 70021,Italy;[2]Department of Radiology,King´s College Hospital,London SE59RS,United Kingdom;[3]Department of Radiology,Gemelli Hospital,Roma 00135,Italy;[4]Interventional Radiology Department,Aberdeen Royal Infirmary Hospital,Aberdeen AB252ZN,United Kingdom;[5]Interventional Radiology Department,Universidade Federal de Mato Grosso do Sul,Campo Grande 79070-900,Brazil;[6]2nd Department of Radiology,School of Medicine,National and Kapodistrian University of Athens,Chaidari Athens GR 12461,Greece高影响力机构 出　　处：《World Journal of Gastroenterology》索引2020年第26卷第34期,共14页高影响力期刊 摘　　要：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. 关 键 词：Budd-Chiari syndrome LIVER Transjugular intrahepatic portosystemic shunt Orthotopic liver transplantation Interventional radiology Portal hypertension
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