Semnan University of Medical Sciences

Research and Technology Vice Chancellor

Fatemi, Reza and Daryani E, Naser and Ganaati, Hossein and Mehrdad, Zahmatkesh (2007) Combination of thrombolytic therapy and angioplastic stent insertion in a patient with Budd-Chiari syndrome. World Journal of Gastroenterology. pp. 3767-3769.

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    Abstract

    A 31-year-old female who had well-established polycythemia vera one year before, presented with the sudden onset. She had severe ascites and hepatic encephalopathy 12 d prior to admission. Real-time ultrasonography revealed a supra hepatic thrombosis extending toward the inferior vena cava (lVC). Thrombolytic therapy with systemic streptokinase (250000 IU loading + 100000 IU/h infusion) was started. At the end of 72 h infusion, the patient's general condition improved. A color Doppler ultrasonography then showed complete and partial resolution of the thrombosis in the supra hepatic vein and IVC, respectively. Despite this good response, 12 d later, the symptoms recurred. Venography detected complete obstruction of the lVC. Percutaneous balloon angioplasty with stent insertion was performed successfully and the patient was discharged without any evidence of liver disease. A combination of systemic streptokinase and radiological intervention was effective in our patient.

    Item Type: Article
    Subjects: R Medicine > R Medicine (General)
    Divisions: Faculty of Medical Sciences > School of Medicine
    Depositing User: Mr Vahab Moshtaghi
    Date Deposited: 05 Feb 2017 01:41
    Last Modified: 05 Feb 2017 01:41
    URI: http://eprints.semums.ac.ir/id/eprint/804

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