Budd-Chiari Syndrome: Illustrated Review of Current Management

John D. Horton; Francisco L. San Miguel; Jorge A. Ortiz


Liver International. 2008;28(4):455-466. 

In This Article

Management Strategies

Treatment of BCS generally follows a least invasive to most invasive strategy. However, this paradigm is not absolute and circumstances may dictate immediate surgery or even transplantation depending on the presentation. Algorithms for management of BCS have been reported.[26,27]

Plessier's algorithm, which was applied to 51 patients over a 7-year period, resulted in overall 1-, 3- and 5-year survival rates of 96%, 89% and 89% respectively.[27] This algorithm included medical management, recanalization, TIPS and liver transplant. Surgical shunts were not part of the algorithm.


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