当前位置： SCI文献检索 > JOURNAL OF VASCULAR SURGERY期刊下所有文献 > Selective surgical therapy of the Budd-Chiari syndrome provides superior survivor rates than conservative medical management.

Selective surgical therapy of the Budd-Chiari syndrome provides superior survivor rates than conservative medical management.

Abstract：

:The Budd-Chiari syndrome is an unusual form of portal hypertension caused by hepatic vein occlusion, which results in centrilobular congestion and necrosis. Its overall mortality rate exceeds 50% at 2 years, and optimal treatment remains controversial. To determine optimal therapy on the basis of clinical and angiographic data, we retrospectively analyzed 30 patients with this disease treated at the University of California, Los Angeles or the University of Southern California School of Medicine between 1955 and 1985. Twelve patients were treated conservatively with diuretics, anticoagulants, paracentesis, and/or peritoneal-venous shunt. Eighteen patients were treated by definitive surgery: side-to-side portocaval shunt (four), mesocaval shunt (four), side-to-side splenorenal shunt (one), liver transplantation (two), transatrial membranotomy (TM) (two), TM followed by inferior vena cava reconstruction (IVCR) (one), TM followed by mesocaval shunt (one) simultaneous IVCR and side-to-side portocaval shunt (one), IVCR (one), and azygousatrial shunt followed 4 years later by a splenopulmonary shunt (one). Overall the surgical group had survival rates superior to the medical group, with a 2-year survival rate of 54% for the surgical group vs. 9% for the medical group (p less than 0.089). On the basis of these data we conclude that surgical therapy is superior to medical therapy for the Budd-Chiari syndrome. However, the operation must be tailored to treat the specific anatomic and clinical abnormality. Guidelines to select the proper surgical procedure are given.

journal_name

J Vasc Surg

journal_title

Journal of vascular surgery

authors

Ahn SS,Yellin A,Sheng FC,Colonna JO,Goldstein LI,Busuttil RW

subject

Has Abstract

pub_date

1987-01-01 00:00:00

pages

28-37

issue

1

eissn

0741-5214

issn

1097-6809

pii

0741-5214(87)90191-1

journal_volume

5

pub_type

杂志文章

相关文献

JOURNAL OF VASCULAR SURGERY文献大全
  • Functional status as a prognostic factor for primary revascularization for critical limb ischemia.

    abstract：BACKGROUND:Lower extremity arterial revascularization (LEAR) is the gold-standard for critical lower limb ischemia (CLI). The goal of this study was twofold. First, we evaluated the long-term functional status of patients undergoing primary LEAR for CLI. Second, prognostic factors of long-term functional status and sur...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/j.jvs.2009.08.051

    authors： Flu HC,Lardenoye JH,Veen EJ,Van Berge Henegouwen DP,Hamming JF

    更新日期：2010-02-01 00:00:00

  • Surgical results: a justification of the surgeon selection process for the ACAS trial. The ACAS Investigators.

    abstract：PURPOSE:The selection of surgeons to participate in a prospective randomized trial comparing the efficacy of a surgical method with medical management is critically important because it will have a direct impact on the outcome of the study and the future use of the operation. We report the success of the method used fo...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/s0741-5214(96)70277-x

    authors： Moore WS,Young B,Baker WH,Robertson JT,Toole JF,Vescera CL,Howard VJ

    更新日期：1996-02-01 00:00:00

  • Decreased mortality with local versus general anesthesia in endovascular aneurysm repair for ruptured abdominal aortic aneurysm in the Vascular Quality Initiative database.

    abstract：BACKGROUND:Endovascular aneurysm repair (EVAR) is an accepted approach for patients presenting with ruptured abdominal aortic aneurysm (rAAA) and suitable anatomy. The effect of anesthesia modality on mortality outcomes in rAAA has not been well described. Using the Vascular Quality Initiative database, this study comp...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/j.jvs.2018.10.090

    authors： Faizer R,Weinhandl E,El Hag S,Le Jeune S,Apostolidou I,Shafii SM,Lee CJ,Rosenberg MS,Reed A,Fanola CL

    更新日期：2019-07-01 00:00:00

  • Management of dialysis access-associated steal syndrome: use of intraoperative duplex ultrasound scanning for optimal flow reduction.

    abstract：:Dialysis access-associated steal syndrome (DASS) is an uncommon complication after the creation of an arteriovenous fistula and can cause irreversible ischemic damage in severe cases. Dialysis access-associated steal syndrome has been managed with the surgical reduction of the volume flow in the fistula, but this is a...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/s0741-5214(99)70192-8

    authors： Shemesh D,Mabjeesh NJ,Abramowitz HB

    更新日期：1999-07-01 00:00:00

  • Psoas abscess in patients with an infected aortic aneurysm.

    abstract：BACKGROUND:Psoas abscess is an uncommon disease, and its presenting features are usually nonspecific. Infected aortic aneurysms could be complicated by psoas abscess. METHODS:A retrospective chart review was conducted to examine the incidence, clinical presentations, microbiology, and outcomes of psoas abscess in pati...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/j.jvs.2007.04.017

    authors： Hsu RB,Lin FY

    更新日期：2007-08-01 00:00:00

  • Female sex is associated with comparable 5-year outcomes after contemporary endovascular aneurysm repair despite more challenging anatomy.

    abstract：BACKGROUND:Women with abdominal aortic aneurysms less often meet anatomic criteria for endovascular repair and experience worse perioperative and long-term survival. METHODS:We compared long-term survival, aneurysm-related mortality, and rates of endoleaks and reinterventions between male and female patients in the En...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/j.jvs.2019.05.065

    authors： O'Donnell TFX,Verhagen HJ,Pratesi G,Pratesi C,Teijink JAW,Vermassen FEG,Mwipatayi P,Forbes TL,Schermerhorn ML

    更新日期：2020-04-01 00:00:00

  • Refinement of survival prediction in patients undergoing lower extremity bypass surgery: stratification by chronic kidney disease classification.

    abstract：OBJECTIVE:End-stage renal disease (ESRD) imparts a significant survival disadvantage to individuals undergoing lower extremity revascularization; however, the influence of lesser degrees of renal impairment remains unclear. This study examined the prognostic significance of the chronic kidney disease (CKD) classificati...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/j.jvs.2007.01.025

    authors： Owens CD,Ho KJ,Kim S,Schanzer A,Lin J,Matros E,Belkin M,Conte MS

    更新日期：2007-05-01 00:00:00

  • Remodeling in peripheral vein graft revisions: serial study with three-dimensional ultrasound imaging.

    abstract：OBJECTIVE:Remodeling of vein grafts in the lower limb can lead to stenotic lesions that threaten long-term graft patency. Progressive changes in vein graft geometry were measured at sites of repaired stenoses with three-dimensional (3D) ultrasound imaging. METHODS:Ten vein graft revisions with patch angioplasty were f...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1067/mva.2003.137

    authors： Leotta DF,Primozich JF,Beach KW,Bergelin RO,Zierler RE,Strandness DE Jr

    更新日期：2003-04-01 00:00:00

  • The current national criteria for carotid artery stenting overestimate its efficacy in patients who are symptomatic and at high risk.

    abstract：BACKGROUND:The Centers for Medicare and Medicaid Services (CMS) have established guidelines that outline patients who are considered "high risk" for complications after carotid endarterectomy (CEA) for which carotid artery stenting (CAS) may provide benefit. The validity of these high-risk criteria are yet unproven. In...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/j.jvs.2012.12.075

    authors： Yoshida S,Bensley RP,Glaser JD,Nabzdyk CS,Hamdan AD,Wyers MC,Chaikof EL,Schermerhorn ML

    更新日期：2013-07-01 00:00:00

  • Thirty-day vein remodeling is predictive of midterm graft patency after lower extremity bypass.

    abstract：OBJECTIVE:Successful adaptation of a vein graft to an arterial environment is incompletely understood. We sought to investigate whether early vein graft remodeling is predictive of subsequent patency. METHODS:A prospective longitudinal study was conducted of 67 patients undergoing lower extremity bypass with autogenou...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/j.jvs.2012.06.098

    authors： Gasper WJ,Owens CD,Kim JM,Hills N,Belkin M,Creager MA,Conte MS

    更新日期：2013-01-01 00:00:00

  • Antisense basic fibroblast growth factor alters the time course of mitogen-activated protein kinase in arterialized vein graft remodeling.

    abstract：PURPOSE:Neointimal hyperplasia (NIH) is complete by 3 weeks in rabbit vein grafts implanted into the arterial circulation. Activation of the mitogen-activated protein kinase (MAPK) family of protein kinases is thought to be critical in remodeling events such as cellular proliferation, differentiation, and migration, as...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1067/mva.2003.130

    authors： Yamashita A,Hanna AK,Hirata S,Dardik A,Sumpio BE

    更新日期：2003-04-01 00:00:00

  • Inappropriate use of venous duplex scans: an analysis of indications and results.

    abstract：PURPOSE:The increasing demand for venous duplex scans despite the relative rarity of detecting acute deep venous thrombosis (DVT) prompted us to review our experience with this diagnostic method. METHODS:We retrospectively analyzed the results and indications of 2993 lower extremity venous duplex scans performed betwe...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/s0741-5214(96)70251-3

    authors： Fowl RJ,Strothman GB,Blebea J,Rosenthal GJ,Kempczinski RF

    更新日期：1996-05-01 00:00:00

  • Spinal cord blood supply in patients with thoracoabdominal aortic aneurysms.

    abstract：OBJECTIVE:In patients with thoracoabdominal aortic aneurysms (TAAAs), the blood supply to the spinal cord is highly variable and unpredictable because of obstructed intercostal and lumbar arteries. This study was performed for the prospective documentation of patent segmental arteries during TAAA repair and the assessm...

    journal_title：Journal of vascular surgery

    pub_type： 临床试验,杂志文章

    doi：10.1067/mva.2002.120041

    authors： Jacobs MJ,de Mol BA,Elenbaas T,Mess WH,Kalkman CJ,Schurink GW,Mochtar B

    更新日期：2002-01-01 00:00:00

  • Differential effects of a gram-negative and a gram-positive infection on autogenous and prosthetic grafts.

    abstract：:A canine model was developed to study the differential response of a gram-negative and a gram-positive bacterial infection on autogenous and prosthetic grafts. After replacing segments of the femoral arteries of 15 dogs with autogenous vein in one groin and polytetrafluoroethylene in the contralateral groin, 10(8) col...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1067/mva.1990.17626

    authors： Geary KJ,Tomkiewicz ZM,Harrison HN,Fiore WM,Geary JE,Green RM,DeWeese JA,Ouriel K

    更新日期：1990-02-01 00:00:00

  • Refining the indications for carotid endarterectomy in patients with symptomatic carotid stenosis: A systematic review.

    abstract：OBJECTIVE:The purpose of this study was to summarize the existing literature on the efficacy of carotid endarterectomy in patients with ipsilateral symptomatic carotid stenosis. METHODS:Database searching, relevance assessment, methodologic quality assessments, and data extraction were all performed in duplicate with ...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章,meta分析

    doi：10.1016/s0741-5214(99)70100-x

    authors： Cinà CS,Clase CM,Haynes BR

    更新日期：1999-10-01 00:00:00

  • Is renal revascularization in diabetic patients worthwhile?

    abstract：PURPOSE:This retrospective review describes surgical management of atherosclerotic renovascular disease (RVD) in hypertensive adults with diabetes mellitus. METHODS:From July 1987 through July 1995, 54 consecutive hypertensive diabetics (mean 213/103 mm Hg; mean medications three drugs) requiring either insulin (16 pa...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/s0741-5214(96)70194-5

    authors： Hansen KJ,Lundberg AH,Benjamin ME,Casey WJ,Craven TE,Bleyer AJ,Dean RH

    更新日期：1996-09-01 00:00:00

  • Sources of error in the measurement of aortic diameter in computed tomography scans.

    abstract：OBJECTIVE:This study was conducted to determine the differences in the diameter of the thoracic aorta when measured from electrocardiographic (ECG)-gated and nongated computed tomography (CT) angiography. Another aim was to define the difference in the aortic diameter when it is measured at peak systole and end diastol...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/j.jvs.2013.07.005

    authors： Parodi J,Berguer R,Carrascosa P,Khanafer K,Capunay C,Wizauer E

    更新日期：2014-01-01 00:00:00

  • The association between preoperative length of stay and surgical site infection after lower extremity bypass for chronic limb-threatening ischemia.

    abstract：OBJECTIVE:Surgical site infection (SSI) is an important complication of lower extremity bypass (LEB) and the rate of SSI after LEB varies widely in the existing literature, ranging from 4% to 31%. Prolonged length of stay (LOS) has been implicated in the occurrence of SSI across multiple surgical disciplines. The impac...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/j.jvs.2020.08.037

    authors： Stewart LM,Spangler EL,Sutzko DC,Pearce BJ,McFarland GE,Passman MA,Patterson MA,Haverstock B,Unger K,Novak Z,Beck AW

    更新日期：2020-09-01 00:00:00

  • The effect of extremity vascular complications on the outcomes of cardiac support device recipients.

    abstract：OBJECTIVE:To assess the effect of extremity vascular complications (EVCs, including ischemia or vessel trauma) on the outcomes of patients receiving cardiac support devices (CSDs, including ventricular assist device [VAD] and extracorporeal membrane oxygenation [ECMO]). METHODS:Institutional Review Board-approved, ret...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/j.jvs.2013.12.014

    authors： Ohman JW,Vemuri C,Prasad S,Silvestry SC,Jim J,Geraghty PJ

    更新日期：2014-06-01 00:00:00

  • Size and location of thrombus in intact and ruptured abdominal aortic aneurysms.

    abstract：PURPOSE:This study compared the volume and morphology of intraluminal thrombus (ILT) in intact and ruptured abdominal aortic aneurysms (AAAs). METHODS:ILT volume in 67 intact AAAs and in 31 ruptured AAAs was assessed by using computed tomography (CT) angiography to measure the major and minor diameter of the outer wal...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/j.jvs.2005.01.004

    authors： Hans SS,Jareunpoon O,Balasubramaniam M,Zelenock GB

    更新日期：2005-04-01 00:00:00

  • Prosthetic thigh arteriovenous access: outcome with SVS/AAVS reporting standards.

    abstract：PURPOSE:Differences in the reporting methods of results for arteriovenous (AV) access can dramatically affect apparent outcome. To enable meaningful comparisons in the literature, the Society for Vascular Surgery and the American Association for Vascular Surgery (SVS/AAVS) recently published reporting standards for dia...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/s0741-5214(03)00720-1

    authors： Cull JD,Cull DL,Taylor SM,Carsten CG 3rd,Snyder BA,Youkey JR,Langan EM 3rd,Blackhurst DW

    更新日期：2004-02-01 00:00:00

  • Clinical significance of mesenteric arterial collateral circulation in patients with celiac artery compression syndrome.

    abstract：OBJECTIVE:Although extensive collateral arterial circulation will prevent ischemia in most patients with stenosis of a single mesenteric artery, mesenteric ischemia may occur in these patients, for example, in patients with celiac artery compression syndrome (CACS). Variation in the extent of collateral circulation may...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/j.jvs.2016.11.052

    authors： van Petersen AS,Kolkman JJ,Gerrits DG,van der Palen J,Zeebregts CJ,Geelkerken RH,Dutch Mesenteric Ischemia Study Group.

    更新日期：2017-05-01 00:00:00

  • Bypass versus Angioplasty in Severe Ischaemia of the Leg (BASIL) trial: A description of the severity and extent of disease using the Bollinger angiogram scoring method and the TransAtlantic Inter-Society Consensus II classification.

    abstract：BACKGROUND:The Bypass versus Angioplasty in Severe Ischaemia of the Leg (BASIL) trial showed in patients with severe lower limb ischemia (rest pain, tissue loss) who survive for 2 years after intervention that initial randomization to bypass surgery, compared with balloon angioplasty, was associated with an improvement...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章,多中心研究,随机对照试验

    doi：10.1016/j.jvs.2010.01.075

    authors： Bradbury AW,Adam DJ,Bell J,Forbes JF,Fowkes FG,Gillespie I,Ruckley CV,Raab GM,BASIL trial Participants.

    更新日期：2010-05-01 00:00:00

  • Effect of perioperative complications after endovascular therapy in patients with peripheral artery disease due to femoropopliteal lesions.

    abstract：OBJECTIVE:Despite wide use, high initial success, and acceptable durability of endovascular therapy (EVT) for femoropopliteal (FP) lesions, the frequency of 30-day perioperative complications (POCs) and their effect on clinical outcomes have not been systematically evaluated, which is the subject of this study. METHOD...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/j.jvs.2014.12.051

    authors： Sato K,Iida O,Takahara M,Soga Y,Suzuki K,Tanigawa T,Ito M,Uematsu M

    更新日期：2015-05-01 00:00:00

  • Simulation for technical skill acquisition in open vascular surgery.

    abstract：BACKGROUND:Simulation has an increasingly prominent role in modern vascular surgery training. However, it is important to understand how simulation is most effectively delivered to best use the time and resources available. The aim of this narrative review is therefore to critically appraise open technical skill acquis...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章,评审

    doi：10.1016/j.jvs.2020.09.042

    authors： Falconer R,Semple CM,Walker KG,Cleland J,Watson AJM

    更新日期：2020-11-25 00:00:00

  • In vitro endothelialization of a mesosystemic shunt: a clinical case report.

    abstract：:The existence of a confluently covering endothelium that is free of any thrombotic appositions can be proved 30 days after clinical implantation of an in vitro endothelialized expanded polytetrafluoroethylene graft. The recipient of the mesosystemic H-graft was a 69-year-old man who had a thrombosed portal vein follow...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/s0741-5214(94)70084-2

    authors： Fischlein T,Zilla P,Meinhart J,Puschmann R,Vesely M,Eberl T,Balon R,Deutsch M

    更新日期：1994-03-01 00:00:00

  • Carotid endarterectomy: characterization of recent increases in procedure rates.

    abstract：INTRODUCTION:Recent increases in the rate of carotid endarterectomies (CEAs) have been attributed to results of clinical trials demonstrating efficacy when CEA is performed in centers of excellence. Subsequent population-based data suggest that trial results may not be matched in the community. This study was undertake...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1067/mva.2000.105954

    authors： Morasch MD,Parker MA,Feinglass J,Manheim LM,Pearce WH

    更新日期：2000-05-01 00:00:00

  • Is thrombolysis of occluded popliteal and tibial bypass grafts worthwhile?

    abstract：PURPOSE:We analyzed the short- and long-term results for patients undergoing thrombolysis of occluded infrainguinal bypass grafts at our institution over a 62-month period. METHODS:Thirty-one patients with 40 episodes of graft thrombosis in 33 grafts managed by thrombolysis were retrospectively reviewed. The effects o...

    journal_title：Journal of vascular surgery

    pub_type： 临床试验,杂志文章

    doi：10.1016/0741-5214(94)90283-6

    authors： Hye RJ,Turner C,Valji K,Wolf YG,Roberts AC,Bookstein JJ,Plecha EJ

    更新日期：1994-10-01 00:00:00

  • Contemporary outcomes of civilian lower extremity arterial trauma.

    abstract：OBJECTIVE:Lower extremity arterial injury may result in limb loss after blunt or penetrating trauma. This study examined outcomes of civilian lower extremity arterial trauma and predictors of delayed amputation. METHODS:The records of patients presenting to a major level I trauma center from 2004 to 2014 with infraing...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/j.jvs.2016.04.052

    authors： Liang NL,Alarcon LH,Jeyabalan G,Avgerinos ED,Makaroun MS,Chaer RA

    更新日期：2016-09-01 00:00:00

  • Results for primary bypass versus primary angioplasty/stent for intermittent claudication due to superficial femoral artery occlusive disease.

    abstract：BACKGROUND:Percutaneous transluminal angioplasty ± stent (PTA/S) and surgical bypass are both accepted treatments for claudication due to superficial femoral artery (SFA) occlusive disease. However, long-term results comparing these modalities for primary intervention in patients who have had no prior intervention have...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/j.jvs.2011.10.128

    authors： Siracuse JJ,Giles KA,Pomposelli FB,Hamdan AD,Wyers MC,Chaikof EL,Nedeau AE,Schermerhorn ML

    更新日期：2012-04-01 00:00:00