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Outcome of non surgical hepatic decompression procedures in Egyptian patients with Budd-Chiari

查看全文 作  者:Ahmed [1]Eldorry;Eman [2]Barakat;Heba [2]Abdella;Sara [2]Abdelhakam;Mohamed [1]Shaker;Amr [2]Hamed;Mohammad [2]Sakr 高影响力作者 机构地区:[1]Department of Radiodi-agnosis and Interventional Radiology, Faculty of Medicine, AinShams University;[2]Department of Tropical Medicine,Faculty of Medicine, Ain Shams University高影响力机构 出  处:《World Journal of Gastroenterology》索引2011年第17卷第7期,共8页高影响力期刊 摘  要:AIM: To evaluate outcome of patients with Budd-Chiari syndrome after balloon angioplasty ± stenting or transjugular intrahepatic portosystemic shunt (TIPS). METHODS: Twenty five patients with Budd-Chiari syndrome admitted to Ain Shams University Hospitals, Tropical Medicine Department were included. Twelve patients (48%) with short segment occlusion were candidates for angioplasty; with stenting in ten cases and without stenting in two. Thirteen patients (52%) had Transjugular Intrahepatic Portosystemic Shunt. Patients were followed up for 12-32 mo. RESULTS: Patency rate in patients who underwent angioplasty ± stenting was 83.3% at one year and at end of follow up. The need of revision was 41.6% with one year survival of 100%, dropped to 91.6% at end of follow up. In patients who had Transjugular Intrahepatic Portosystemic Shunt, patency rate was 92.3% at one year, dropped to 84.6% at end of follow up. The need of revision was 38.4% with one year and end of follow up survival of 100%. Patients with patent shunts showed marked improvement compared to those with occluded shunts. CONCLUSION: Morbidity and mortality following angioplasty ± stenting and TIPS are low with satisfactory outcome. Proper patient selection and management of shunt dysfunction are crucial in improvement. 关 键 词:患者 血管成形术 程序 减压 埃及 手术 TIPS
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