Tratamiento endovascular del síndrome de Budd-Chiari, a propósito de un caso
DOI:
https://doi.org/10.30944/20117582.518Palabras clave:
síndrome de Budd-Chiari, hígado, vena cava superior, ascitis, procedimientos endovasculares, angioplastiaResumen
El síndrome de Budd-Chiari consiste en la oclusión de la circulación de salida venosa del hígado, desde las sinusoides hepáticas hasta la unión de la vena cava inferior con la aurícula derecha. Esta entidad es muy rara. Las causas son primarias, obstrucción congénita de la vena cava o trombosis espontánea, o secundarias, compresión extrínseca. Si no se trata la obstrucción esta enfermedad, lleva a cirrosis hepática.
Se presenta un caso del síndrome de Budd-Chiari de causa primaria por obstrucción membranosa, tratado por vía endovascular de manera exitosa y con resolución de todos los síntomas. Es el primer reporte en Colombia de este tipo de tratamiento.
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Referencias bibliográficas
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2. Darwish Murad S, Plessier A, Hernández-Guerra M, Fabris F, Eapen CE, Bahr MJ, et al. Etiology, management, and outcome of the Budd-Chiari syndrome. Ann Intern Med. 2009;151:167-75.
3. Xing-Shun Q, Wei-Rong R, Dai-Ming F, Guo-Hong H. Selection of treatment modalities for Budd-Chiari Syndrome in China: A preliminary survey of published literature. World J Gastroenterol. 2014;20:10628-36. https://doi.org/10.3748/wjg.v20.i30.10628
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8. Liu L, Qi XS, Zhao Y, Chen H, Meng XC, Han GH. Budd-Chiari syndrome: Current perspectives and controversies. Eur Rev Med Pharmacol Sci. 2016;20:3273-81.
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10. Huang Q, Shen B, Zhang Q, Xu H, Zu M, Gu Y, et al. Comparison of long-term outcomes of endovascular management for membranous and segmental inferior vena cava obstruction in patients with primary Budd–Chiari syndrome Circ Cardiovasc Interv. 2016;9:e003104. https://doi.org/10.1161/circinterventions.115.003104
11. Mancuso A. An update on management of Budd-Chiari syndrome. Ann Hepatology. 2014;13:323-26.
12. Klein A. Management of Budd-Chiari syndrome.¸ Liver Transpl. 2006;12(Suppl.2):S23-8. doi: 10.1002/lt.20941
13. Zhou P, Ren J, Han X, Wu G, Zhang W, Ding P, et al. Initial imaging analysis of Budd-Chiari syndrome in Henan Province of China: Most cases have combined inferior vena cava and hepatic veins involvement. PLoS ONE. 2014;9:e85135. https://doi.org/10.1371/journal.pone.0085135
14. Yoon YI, Hwang S, Ko GY, Ha TY, Song GW, Jung DH, et al. Endovascular stenting of the inferior vena cava in a patient with Budd-Chiari syndrome and main hepatic vein thrombosis: A case report. Korean J Hepatobiliary Pancreat Surg. 2015;19:35-9. https://doi.org/10.14701/kjhbps.2015.19.1.35
15. Aydinli M, Bayraktar Y. Budd-Chiari syndrome: Etiology, pathogenesis and diagnosis. World J Gastroenterol. 2007;13:2693-6.
16. Bozorgmanesh A, Selvam A, Caridi JC. Budd-Chiari syndrome: Hepatic venous web outflow obstruction treated by percutaneous placement of hepatic vein stent. Semin Intervent Radiol. 2007;24:100-5. https://doi.org/10.1055/s-2007-971200
17. Li T, Zhai S, Pang Z, Ma X, Cao H, Bai W, et la. Feasibility and midterm outcomes of percutaneous transhepatic balloon angioplasty for symptomatic Budd-Chiari https://doi.org/10.1016/j.jvs.2009.06.049
18. Lee B-B, Villavicencio L, Kim YW, Do YS, Koh KC, Lim HK. Primary Budd-Chiari syndrome: Outcome of endovascular management for suprahepatic venous obstruction. Vasc Surg. 2006;43:101-8. https://doi.org/10.1016/j.jvs.2005.09.003
19. Fisher NC, McCafferty I, Dolapci M, Wali M, Buckels JA, Olliff SP, et al. Managing Budd-Chiari syndrome: a retrospective review of percutaneous hepatic vein angioplasty and surgical shunting¸ Gut. 1999;44:568-74.
20. Zhang CQ, Fu LN, Xu L, Zhang GQ, Jia T, Liu JY. Long-term effect of stent placement in 115 patients with Budd- Chiari syndrome. World J Gastroenterol. 2003;9:2587-91. https://doi.org/10.3748/wjg.v9.i11.2587
21. Zhang C-Q, Fu L-N, Xu L, Zhang G-Q, Jia T, Liu J-Y. Long-term effect of stent placement in 115 patients with Budd- Chiari syndrome. World J Gastroenterol. 2003;9:2587-91. https://doi.org/10.3748/wjg.v9.i11.2587
22. Ding P-X, Li Y-D, Han X-W. Agitation thrombolysis for fresh iatrogenic IVC thrombosis in patients with Budd-Chiari syndrome. Vasc Surg. 2010;52:782-4.
23. Zhang Q-Q, Xu H, Zu M-H, Gu Y-M, Shen B, Wei N, et al. Strategy and long-term outcomes of endovascular treatment for Budd-Chiari syndrome complicated by inferior vena caval thrombosis. European J Vasc Endovasc Surg. 2014;47:550e-7. https://doi.org/10.1016/j.ejvs.2014.01.014
24. Reza P, Naser H, Hossein I. Combination of thrombolytic therapy and angioplastic stent insertion in a patient with Budd-Chiari syndrome. World J Gastroenterol. 2007;13:3767-9.
25. Venbrux AC, Mitchell SE, Savader SJ, Lund GB, Trerotola SO, Newman JS, et al. Long-term results with the use of metallic stents in the inferior vena cava for treatment of Budd-Chiari syndrome. J Vasc Interv Radiol. 1994;5:411-6.
26. Cameron JL, Maddrey WC. Mesoatrial shunt: A new treatment for the Budd-Chiari syndrome. Ann Surg. 1978;187:402-6.
27. Orloff MJ, Daily PO, Orloff SL, Girard B, Orloff MS. A 27-year experience with surgical treatment of Budd-Chiari syndrome. Ann Surg. 2000;232:340-52.
28. Furui S, Sawada S, Irie T, Makita K, Yamauchi T, Kusano S, et al. Hepatic inferior vena cava obstruction: Treatment of two types with Gianturco expandable metallic stents. Radiology. 1990;176: 665-70.
29. Han G, Qi X, Zhang W, He C, Yin Z, Wang J, et al. Percutaneous recanalization for Budd-Chiari syndrome: An 11-year retrospective study on patency and survival in 177 Chinese patients from a single center. Radiology. 2013; 266:657-67.
30. Weernink EE, Huisman AB, ten Napel CH. Treatment of Budd-Chiari syndrome by insertion of wall-stent in hepatic vein. Lancet. 1991;338:644.
31. Zhang C, Fu L, Zhang G, Xu L, Shun H, Wang Z, et al. Ultrasonically guided inferior vena cava stent placement: Experience in 83 cases. J Vasc Interv Radiol. 1999;10:85-91.
2. Darwish Murad S, Plessier A, Hernández-Guerra M, Fabris F, Eapen CE, Bahr MJ, et al. Etiology, management, and outcome of the Budd-Chiari syndrome. Ann Intern Med. 2009;151:167-75.
3. Xing-Shun Q, Wei-Rong R, Dai-Ming F, Guo-Hong H. Selection of treatment modalities for Budd-Chiari Syndrome in China: A preliminary survey of published literature. World J Gastroenterol. 2014;20:10628-36. https://doi.org/10.3748/wjg.v20.i30.10628
4. Valla DC. Primary Budd-Chiari syndrome. J Hepatol. 2009;50:195e-203.
5. Finn MC, Glowacki J, Mulliken JB. Congenital vascular lesions: Clinical application of a new classification. J Pediat Surg. 1983;18:894.
6. Lidsky ME, Markovic JN, Miller MJ Jr, Shortell CK. Analysis of the treatment of congenital vascular malformations using a multidisciplinary approach. J Vasc Surg. 2012;56:1355-62.
7. Wang R, Meng Q, Qu LF, Wu X, Sun NF, Jin X. Treatment of Budd-Chiari syndrome with inferior vena cava thrombosis. Exp Therap Med. 2013;5:1254-8.
8. Liu L, Qi XS, Zhao Y, Chen H, Meng XC, Han GH. Budd-Chiari syndrome: Current perspectives and controversies. Eur Rev Med Pharmacol Sci. 2016;20:3273-81.
9. Zhang Q, Xu H, Zu M, Gu Y, Wei N, Wang W, et al. Catheter directed thrombolytic therapy combined with angioplasty for hepatic vein obstruction in Budd Chiari syndrome complicated by thrombosis. Exp Ther Med. 2013;6:1015-21. doi: 10.3892/etm.2013.1239
10. Huang Q, Shen B, Zhang Q, Xu H, Zu M, Gu Y, et al. Comparison of long-term outcomes of endovascular management for membranous and segmental inferior vena cava obstruction in patients with primary Budd–Chiari syndrome Circ Cardiovasc Interv. 2016;9:e003104. https://doi.org/10.1161/circinterventions.115.003104
11. Mancuso A. An update on management of Budd-Chiari syndrome. Ann Hepatology. 2014;13:323-26.
12. Klein A. Management of Budd-Chiari syndrome.¸ Liver Transpl. 2006;12(Suppl.2):S23-8. doi: 10.1002/lt.20941
13. Zhou P, Ren J, Han X, Wu G, Zhang W, Ding P, et al. Initial imaging analysis of Budd-Chiari syndrome in Henan Province of China: Most cases have combined inferior vena cava and hepatic veins involvement. PLoS ONE. 2014;9:e85135. https://doi.org/10.1371/journal.pone.0085135
14. Yoon YI, Hwang S, Ko GY, Ha TY, Song GW, Jung DH, et al. Endovascular stenting of the inferior vena cava in a patient with Budd-Chiari syndrome and main hepatic vein thrombosis: A case report. Korean J Hepatobiliary Pancreat Surg. 2015;19:35-9. https://doi.org/10.14701/kjhbps.2015.19.1.35
15. Aydinli M, Bayraktar Y. Budd-Chiari syndrome: Etiology, pathogenesis and diagnosis. World J Gastroenterol. 2007;13:2693-6.
16. Bozorgmanesh A, Selvam A, Caridi JC. Budd-Chiari syndrome: Hepatic venous web outflow obstruction treated by percutaneous placement of hepatic vein stent. Semin Intervent Radiol. 2007;24:100-5. https://doi.org/10.1055/s-2007-971200
17. Li T, Zhai S, Pang Z, Ma X, Cao H, Bai W, et la. Feasibility and midterm outcomes of percutaneous transhepatic balloon angioplasty for symptomatic Budd-Chiari https://doi.org/10.1016/j.jvs.2009.06.049
18. Lee B-B, Villavicencio L, Kim YW, Do YS, Koh KC, Lim HK. Primary Budd-Chiari syndrome: Outcome of endovascular management for suprahepatic venous obstruction. Vasc Surg. 2006;43:101-8. https://doi.org/10.1016/j.jvs.2005.09.003
19. Fisher NC, McCafferty I, Dolapci M, Wali M, Buckels JA, Olliff SP, et al. Managing Budd-Chiari syndrome: a retrospective review of percutaneous hepatic vein angioplasty and surgical shunting¸ Gut. 1999;44:568-74.
20. Zhang CQ, Fu LN, Xu L, Zhang GQ, Jia T, Liu JY. Long-term effect of stent placement in 115 patients with Budd- Chiari syndrome. World J Gastroenterol. 2003;9:2587-91. https://doi.org/10.3748/wjg.v9.i11.2587
21. Zhang C-Q, Fu L-N, Xu L, Zhang G-Q, Jia T, Liu J-Y. Long-term effect of stent placement in 115 patients with Budd- Chiari syndrome. World J Gastroenterol. 2003;9:2587-91. https://doi.org/10.3748/wjg.v9.i11.2587
22. Ding P-X, Li Y-D, Han X-W. Agitation thrombolysis for fresh iatrogenic IVC thrombosis in patients with Budd-Chiari syndrome. Vasc Surg. 2010;52:782-4.
23. Zhang Q-Q, Xu H, Zu M-H, Gu Y-M, Shen B, Wei N, et al. Strategy and long-term outcomes of endovascular treatment for Budd-Chiari syndrome complicated by inferior vena caval thrombosis. European J Vasc Endovasc Surg. 2014;47:550e-7. https://doi.org/10.1016/j.ejvs.2014.01.014
24. Reza P, Naser H, Hossein I. Combination of thrombolytic therapy and angioplastic stent insertion in a patient with Budd-Chiari syndrome. World J Gastroenterol. 2007;13:3767-9.
25. Venbrux AC, Mitchell SE, Savader SJ, Lund GB, Trerotola SO, Newman JS, et al. Long-term results with the use of metallic stents in the inferior vena cava for treatment of Budd-Chiari syndrome. J Vasc Interv Radiol. 1994;5:411-6.
26. Cameron JL, Maddrey WC. Mesoatrial shunt: A new treatment for the Budd-Chiari syndrome. Ann Surg. 1978;187:402-6.
27. Orloff MJ, Daily PO, Orloff SL, Girard B, Orloff MS. A 27-year experience with surgical treatment of Budd-Chiari syndrome. Ann Surg. 2000;232:340-52.
28. Furui S, Sawada S, Irie T, Makita K, Yamauchi T, Kusano S, et al. Hepatic inferior vena cava obstruction: Treatment of two types with Gianturco expandable metallic stents. Radiology. 1990;176: 665-70.
29. Han G, Qi X, Zhang W, He C, Yin Z, Wang J, et al. Percutaneous recanalization for Budd-Chiari syndrome: An 11-year retrospective study on patency and survival in 177 Chinese patients from a single center. Radiology. 2013; 266:657-67.
30. Weernink EE, Huisman AB, ten Napel CH. Treatment of Budd-Chiari syndrome by insertion of wall-stent in hepatic vein. Lancet. 1991;338:644.
31. Zhang C, Fu L, Zhang G, Xu L, Shun H, Wang Z, et al. Ultrasonically guided inferior vena cava stent placement: Experience in 83 cases. J Vasc Interv Radiol. 1999;10:85-91.
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Publicado
2019-12-13
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Jiménez Jiménez, C.; Randial Tagliapetra , L.; Silva, I. .; Alférez, F. . Tratamiento Endovascular Del síndrome De Budd-Chiari, a propósito De Un Caso. Rev Colomb Cir 2019, 34, 386-393.
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