{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T13:13:52Z","timestamp":1783430032376,"version":"3.54.6"},"reference-count":33,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T00:00:00Z","timestamp":1775606400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T00:00:00Z","timestamp":1775606400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Liver International"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the long\u2010term safety, efficacy, and clinical outcomes of endovascular interventions [hepatic vein\/inferior vena cava recanalization and Direct Intrahepatic Portosystemic Shunt (DIPS)] in patients with Budd\u2010Chiari Syndrome (BCS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively analysed electronic medical records of consecutive BCS patients who underwent endovascular interventions between 2010 and 2022 with at least 2\u2009years of follow\u2010up. We analysed laboratory and clinical parameters, types of interventions, patency rates, and survival outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 415 BCS patients, 161 patients underwent endovascular interventions (median age 33.06 (5\u201375)\u2009years, male\u2010to\u2010female ratio 2.2:1). 103 patients who underwent hepatic vein\/inferior vena cava recanalization (angioplasty\/stenting) and 58 patients who underwent DIPS. The DIPS group had higher baseline median Child\u2010Turcotte\u2010Pugh (CTP) score (8.27), MELD score (14.94) and Rotterdam score (0.96). The recanalization group had baseline CTP score (6.95), MELD score (13.01) and Rotterdam score (0.56). Both interventions resulted in significant improvements in clinical outcomes (ascites resolution and prevention of rebleeding) and ALBI grades (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01). The DIPS group had persistently higher MELD and ALBI scores (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05) and required more repeat endovascular interventions (58.6%). The recanalization group required fewer repeat interventions (7.7%). Patency rates at 1 and 5\u2009years were 96% and 92% for recanalization, 82% and 45% for DIPS, and 100% and 60% for DIPS revisions, respectively. The 10\u2010year survival rate was 92% for the recanalization group and 88% for the DIPS group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Endovascular interventions provide higher rates of symptom resolution and excellent long\u2010term overall survival in BCS patients. Patients undergoing DIPS exhibited persistently higher severity scores and a higher need for repeat interventions, consistent with a more severe disease phenotype at baseline.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/liv.70638","type":"journal-article","created":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T07:22:50Z","timestamp":1775632970000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Long\u2010Term Efficacy and Outcomes of Endovascular Interventions in Budd\u2010Chiari Syndrome\u2014A Real World Analysis"],"prefix":"10.1111","volume":"46","author":[{"given":"Amar","family":"Mukund","sequence":"first","affiliation":[{"name":"Institute of Liver and Biliary Sciences  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vaibhav","family":"Thakur","sequence":"additional","affiliation":[{"name":"Institute of Liver and Biliary Sciences  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5582-7759","authenticated-orcid":false,"given":"Ankur","family":"Jindal","sequence":"additional","affiliation":[{"name":"Institute of Liver and Biliary Sciences  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yashwant","family":"Patidar","sequence":"additional","affiliation":[{"name":"Institute of Liver and Biliary Sciences  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rakhi","family":"Maiwall","sequence":"additional","affiliation":[{"name":"Institute of Liver and Biliary Sciences  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0544-5610","authenticated-orcid":false,"given":"Shiv Kumar","family":"Sarin","sequence":"additional","affiliation":[{"name":"Institute of Liver and Biliary Sciences  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,8]]},"reference":[{"issue":"3","key":"e_1_2_12_2_1","first-page":"493","article-title":"Budd\u2010Chiari Syndrome","volume":"37","author":"Valla D.","year":"2003","journal-title":"Hepatology"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/hep.22772"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.4329\/wjr.v3.i7.169"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-151-3-200908040-00004"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0168-8278(12)60004-X"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12072-018-9900-z"},{"issue":"5","key":"e_1_2_12_8_1","first-page":"294","article-title":"Anticoagulation for the Treatment of Budd\u2010Chiari Syndrome: A Systematic Review and Meta\u2010Analysis of Observational Studies","volume":"8","author":"Qi X.","year":"2015","journal-title":"Therapeutic Advances in Gastroenterology"},{"issue":"42","key":"e_1_2_12_9_1","first-page":"5236","article-title":"Clinical Characteristics and Long\u2010Term Prognosis of Budd\u2010Chiari Syndrome: A Single\u2010Center Experience","volume":"13","author":"Harmanci O.","year":"2007","journal-title":"World Journal of Gastroenterology"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2018.01.781"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.05.0168"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ultrasmedbio.2003.07.001"},{"issue":"7","key":"e_1_2_12_13_1","first-page":"1117","article-title":"Long\u2010Term Outcomes Following Percutaneous Hepatic Vein Recanalization in Budd\u2010Chiari Syndrome","volume":"37","author":"Tripathi D.","year":"2017","journal-title":"Liver 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