Mesoatrial shunts for Budd-Chiari syndrome and inferior vena cava thrombosis: Angiographic and hemodynamic evaluations

P. L. Redmond, S. Kadir, S. L. Kaufman, R. I. White, John L Cameron

Research output: Contribution to journalArticle

Abstract

When inferior vena caval obstruction complicates the Budd-Chiari syndrome, conventional portosystemic shunts are not possible. The mesoatrial shunt has been devised to enable portal and sinusoidal decompression in these patients. Findings in 12 patients with Budd-Chiari syndrome and inferior vena caval obstruction in whom a mesoatrial shunt was performed are reported. Preoperative inferior vena cavography with pressure measurements is essential to determine the appropriate shunt procedure. Postoperatively, shunt patency is assessed with superior mesenteric arterial portography. Where possible, transvenous catheterization of the shunt is performed to confirm patency and assess hemodynamic function.

Original languageEnglish (US)
Pages (from-to)131-134
Number of pages4
JournalRadiology
Volume163
Issue number1
Publication statusPublished - 1987
Externally publishedYes

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ASJC Scopus subject areas

  • Radiological and Ultrasound Technology

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