Back to Search
Start Over
Comparative study of predilation with stent filter for Budd-Chiari syndrome with old IVC thrombosis: a nonrandomized prospective trial
- Source :
- European journal of radiology. 81(6)
- Publication Year :
- 2011
-
Abstract
- Purpose To evaluate whether predilation approach yield intermediate-term results were better than those with stent filter approach. Materials and methods 59 BCS patients with old IVC thrombosis were selected for the treatment with a stent filter ( n = 33, group A) or predilation ( n = 26, group B) before thrombolysis, and subsequently underwent color Doppler ultrasound follow-up at our hospital. Data relating to the technical success, color Doppler ultrasound results, cost, mortality, morbidity, and final clinical results were collected prospectively and follow-ups were performed 1, 3, 6, and 12 months after the procedures, and annually thereafter. Results Sent filter placement, thrombolysis and predilation were technically successful in all patients, with no procedure-related complications. Stent migration upward occurred in two patients, and removal of the stent filter was technically successful in 32 of 33 patients in group A. Inferior vena cavagrams performed before dilation with a 30-mm balloon catheter demonstrated that the IVC thrombus had completely resolved in all patients without pulmonary embolism. Reobstruction of the IVC without thrombosis was observed in three patients. Short of higher overall complications and costs in group A when compared to group B, there were no other differences in the clinical and color Doppler ultrasound findings, and primary patency rate between the two groups. All patients are alive with no recurrence of thrombosis at the time of this report. Conclusions BCS patients with old IVC thrombosis treatment with predilation approach yielded intermediate-term results that were better than those with the stent filter approach.
- Subjects :
- Adult
Male
medicine.medical_specialty
Vena Cava Filters
medicine.medical_treatment
Iohexol
Contrast Media
Vena Cava, Inferior
Budd-Chiari Syndrome
Inferior vena cava
Catheterization
medicine
Humans
Radiology, Nuclear Medicine and imaging
Thrombolytic Therapy
Prospective Studies
Thrombus
Ultrasonography, Doppler, Color
Aged
business.industry
Balloon catheter
Angiography
Stent
Thrombosis
General Medicine
Thrombolysis
Middle Aged
medicine.disease
Pulmonary embolism
Surgery
Treatment Outcome
medicine.vein
Fluoroscopy
cardiovascular system
Budd–Chiari syndrome
Female
Stents
Radiology
business
Pulmonary Embolism
Tomography, X-Ray Computed
Subjects
Details
- ISSN :
- 18727727
- Volume :
- 81
- Issue :
- 6
- Database :
- OpenAIRE
- Journal :
- European journal of radiology
- Accession number :
- edsair.doi.dedup.....a59038026c3e69f1ebac98193619afb8