{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T03:55:46Z","timestamp":1790740546915,"version":"4.1.0"},"reference-count":33,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2016,7,5]],"date-time":"2016-07-05T00:00:00Z","timestamp":1467676800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Liver International"],"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background &amp; Aims<\/jats:title><jats:p>A proportion of patients with Budd\u2013Chiari Syndrome (<jats:styled-content style=\"fixed-case\">BCS<\/jats:styled-content>) associated with stenosis or short occlusion of the hepatic vein (<jats:styled-content style=\"fixed-case\">HV<\/jats:styled-content>) or upper inferior vena cava (<jats:styled-content style=\"fixed-case\">IVC<\/jats:styled-content>) can be treated with recanalization by percutaneous venoplasty \u00b1 <jats:styled-content style=\"fixed-case\">HV<\/jats:styled-content> stent insertion. We studied the long\u2010term outcomes of this approach.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Single\u2010centre retrospective analysis of patients referred for radiological assessment \u00b1 intervention over a 27\u2010year period. Of 155 <jats:styled-content style=\"fixed-case\">BCS<\/jats:styled-content> patients, 63 patients who underwent venoplasty were studied and compared to a previously reported series treated by <jats:styled-content style=\"fixed-case\">TIPSS<\/jats:styled-content> (<jats:italic>n<\/jats:italic> = 59).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Patients treated with <jats:styled-content style=\"fixed-case\">HV<\/jats:styled-content> interventions (32 venoplasty alone, 31 endovascular stents): mean age, 34.9 \u00b1 10.9; M:F ratio 27:36; median follow\u2010up, 113.0 months; 62% of patients had \u22651 haematological risk factor. Technical success was 100%, with symptom resolution in 73%. Cumulative secondary patency at 1, 5, 10 years was 92%, 79%, 79% and 69%, 69%, 64% in the stenting and venoplasty groups respectively. Where long\u2010term patency was not achieved, 10 patients required <jats:styled-content style=\"fixed-case\">TIPSS<\/jats:styled-content>, and 8 underwent surgery. Actuarial survival at 1, 5, 10 years was 97%, 89% and 85%. When compared to <jats:styled-content style=\"fixed-case\">TIPSS<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> HV<\/jats:styled-content> interventions resulted in similar patency and survival rates but significantly lower procedural complications (9.5% vs 27.1%) and hepatic encephalopathy (0% vs 18%). Patient age predicted survival following multivariate analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our data support the stepwise approach to management of <jats:styled-content style=\"fixed-case\">BCS<\/jats:styled-content>, with very good outcomes from venoplasty combined with stenting when required. <jats:styled-content style=\"fixed-case\">TIPSS<\/jats:styled-content> should only be offered where <jats:styled-content style=\"fixed-case\">HV<\/jats:styled-content> interventions are not feasible or unsuccessful.<\/jats:p><\/jats:sec>","DOI":"10.1111\/liv.13180","type":"journal-article","created":{"date-parts":[[2016,6,2]],"date-time":"2016-06-02T14:34:40Z","timestamp":1464878080000},"page":"111-120","source":"Crossref","is-referenced-by-count":55,"title":["Long\u2010term outcomes following percutaneous hepatic vein recanalization for Budd\u2013Chiari syndrome"],"prefix":"10.1111","volume":"37","author":[{"given":"Dhiraj","family":"Tripathi","sequence":"first","affiliation":[{"name":"Liver Unit Queen Elizabeth Hospital Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lawrence","family":"Sunderraj","sequence":"additional","affiliation":[{"name":"Liver Unit Queen Elizabeth Hospital Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vishwaraj","family":"Vemala","sequence":"additional","affiliation":[{"name":"Liver Unit Queen Elizabeth Hospital Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Homoyon","family":"Mehrzad","sequence":"additional","affiliation":[{"name":"Imaging and Interventional Radiology Dept Queen Elizabeth Hospital Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zergham","family":"Zia","sequence":"additional","affiliation":[{"name":"Imaging and Interventional Radiology Dept Queen Elizabeth Hospital Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kamarjit","family":"Mangat","sequence":"additional","affiliation":[{"name":"Imaging and Interventional Radiology Dept Queen Elizabeth Hospital Birmingham UK"},{"name":"Department of Radiology National University Hospital Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"West","sequence":"additional","affiliation":[{"name":"Imaging and Interventional Radiology Dept Queen Elizabeth Hospital Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frederick","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Haematology Queen Elizabeth Hospital Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elwyn","family":"Elias","sequence":"additional","affiliation":[{"name":"Liver Unit Queen Elizabeth Hospital Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon 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