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- W2036421139 abstract "Key Concepts: 1 Medical therapy alone is rarely sufficient for long-term management of patients with hepatic vein thrombosis. 2 Enthusiasm for intravascular stents (transjugular intrahepatic portosystemic shunt [TIPS] or vena caval stents) for the management of Budd-Chiari syndrome must be tempered by the limited interval of expected utility, the likelihood of stent occlusion/revisions, and the potential complications that stent migration would impose upon a subsequent liver transplant. 3 Both decompressive shunts and liver transplantation provide excellent long-term survival for patients with the Budd-Chiari syndrome. The determination of which surgical procedure is most appropriate is aided by assessment of the etiology of hepatic vein thrombosis, hepatic reserve, liver histology, and splanchnic venous anatomy. 4 Progressive hepatic damage may develop in patients with Budd-Chiari syndrome who have patent surgical shunts or TIPS. Lifelong follow-up and tracking of hepatic function are indicated. Some patients with shunts will require salvage with liver transplantation. 5 Long-term anticoagulation should be considered after transplantation, even in patients who do not have an identifiable coagulation disorder. Liver Transpl 12:S23–S28, 2006. © 2006 AASLD." @default.
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- W2036421139 date "2006-01-01" @default.
- W2036421139 modified "2023-10-16" @default.
- W2036421139 title "Management of Budd-Chiari syndrome" @default.
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- W2036421139 doi "https://doi.org/10.1002/lt.20941" @default.
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