Successful stenting for Budd–Chiari syndrome after pediatric liver transplantation: a case series and review of the literature
Successful stenting for Budd–Chiari syndrome after pediatric liver transplantation: a case series and review of the literature
复制标题
小儿肝移植术后布加氏综合征成功置入支架：病例系列及文献回顾
DOI：
10.1007/s00383-003-1093-3
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发表时间：
2004
影响因子：
1.8
通讯作者：
Robert M Jones
中科院分区：
文献类型：
--
作者：
S. Rerksuppaphol;W. Hardikar;Arnold L. Smith;J. Wilkinson;T. Goh;P. Angus;Robert M Jones
肝静脉流出道梗阻，即布-加综合征，是原位肝移植术后一种罕见但严重的并发症，可导致移植物丢失。我们的目的是描述儿童肝移植术后肝流出道梗阻经皮介入治疗的单中心经验。三位肝移植术后肝静脉流出道阻塞的儿童，成功地接受经皮内支架置入术。这导致了症状的长期解决，并且在我们的系列和文献报告的病例中均上级球囊血管成形术。支架置入术可能是小儿肝移植术后肝静脉阻塞的治疗选择，特别是如果球囊扩张后狭窄复发。
Hepatic venous outflow obstruction, known as Budd–Chiari syndrome, is a rare but serious complication of orthotopic liver transplantation and may lead to graft loss. Our aim was to describe a single center experience of percutaneous interventional management of hepatic outflow obstruction post liver transplantation in children. Three children with post-transplant hepatic venous outflow obstruction were treated successfully with percutaneous stent placement. This resulted in long-term resolution of symptoms and was superior to balloon angioplasty both in our series and in cases reported in the literature. Stenting may be the treatment of choice for hepatic venous obstruction after pediatric liver transplantation, particularly if there is a recurrence of stenosis after balloon dilatation.