Liaquat National Hospital and Medical College, Karachi, Pakistan.
Department of Radiology, Liaquat National Hospital and Medical College, Karachi, Pakistan.
J Pak Med Assoc. 2023 Mar;73(3):684-686. doi: 10.47391/JPMA.5277.
Anticoagulants are the first-line treatment option for patients with Budd-Chiari syndrome (BCS); however, intervention is required when this fails. Although, the ultimate treatment is liver transplant, other radiological procedures are for the management of the disease and bridge to definitive therapy. TIPS (trans jugular intrahepatic portosystemic shunt) is a method used by interventional radiologists to create a shunt between portal vein and hepatic vein. At times it is technically not possible, in such cases, direct intrahepatic portosystemic shunt (DIPS) is performed. This patient underwent a successful DIPS procedure for BCS along with balloon dilatation (venoplasty) for inferior vena cava (IVC) stenosis.
抗凝剂是布加综合征（BCS）患者的一线治疗选择；然而，当这种治疗失败时，就需要进行干预。尽管最终的治疗方法是肝移植，但其他放射学程序是用于疾病的管理和桥接，以达到确定性治疗。TIPS（经颈静脉肝内门体分流术）是介入放射科医生用来在门静脉和肝静脉之间建立分流的一种方法。有时在技术上是不可能的，在这种情况下，会进行直接肝内门体分流术（DIPS）。该患者成功地接受了 DIPS 手术治疗 BCS，同时还对下腔静脉（IVC）狭窄进行了球囊扩张（血管成形术）。
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