Title of article
Combination of Thrombolytic Therapy and Angioplastic Stent Insertion in a Patient with Budd-Chiari Syndrome Report of a Case
Author/Authors
Daryani, N. E Department of Gastroentrology - Imam Hospital - Tehran University of Medical Sciences,Tehran , Fatemi, R Department of Gastroentrology Shahid Beheshti University of Medical Sciences, Tehran , Ghanaati, H Imam Hospital - Tehran University of Medical Sciences , Tehran , Alipoor, A Department of Gastroentrology - Imam Hospital - Tehran University of Medical Sciences,Tehran , Taslimi, R , Hamrang, J , Hashtroudi, A. A Department of Gastroentrology - Imam Hospital - Tehran University of Medical Sciences,Tehran
Pages
4
From page
109
To page
112
Abstract
Abstract: A 31-year-old female with well-established polycythemia vera since one year
before,presentedwiththesuddenonsetoftenseascitesandhepaticencephalopathysince
12 days prior to admission. Real-time ultrasonography revealed a suprahepatic thrombosis
extendingtowardtheinferiorvenacava(IVC).Thrombolytictherapywithsystemicstreptokinase
(250,000 IU loading + 100,000 IU/hr infusion)was started. At theend of 72hours'
infusion, the patient’s general condition improved. A color Doppler ultrasonography, then
showedcompleteandpartialresolutionofthethrombosisinthesuprahepaticveinandIVC,
respectively.Despitethisgoodresponse,12dayslater,thesymptomsrecurred.Venography
detected complete obstruction of the IVC. Percutanous balloon angioplasty with stent
insertionwasperformedsuccessfullyandthepatientwasdischargedwithoutanyevidence
of liverdisease.A combinationofsystemicstreptokinaseandradiological interventionwas
effectiveinourpatient.
Keywords
Hepatic Vein Thrombosis , Anticoagulants , Thrombolytic Therapy , Stents
Journal title
Astroparticle Physics
Serial Year
2003
Record number
2434870
Link To Document