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Budd-Chiari Syndrome: Early Intervention With Angioplasty and Thrombolytic Therapy
JEFFREY W. FRANK, M.D., PATRICK S. KAMATH, M.D., ANTHONY W. STANSON, M.D. Mayo Clinic Proceedings Volume 69, Issue 9, Pages (September 1994) DOI: /S (12) Copyright © 1994 Mayo Foundation for Medical Education and Research Terms and Conditions
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Fig. 1 Venacavogram of 35-year-old woman with ascites and edema, showing stenosis (arrow) within intrahepatic portion just below hepatic vein junction. Small dimple (arrowhead) is site of occluded left hepatic vein. Mayo Clinic Proceedings , DOI: ( /S (12) ) Copyright © 1994 Mayo Foundation for Medical Education and Research Terms and Conditions
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Fig. 2 Left hepatic venogram obtained after recanalization of occluded orifice. Note large amount of thrombus (arrows) within lumen and intrahepatic collateral veins (arrowheads). Mayo Clinic Proceedings , DOI: ( /S (12) ) Copyright © 1994 Mayo Foundation for Medical Education and Research Terms and Conditions
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Fig. 3 Left hepatic venogram obtained 24 hours after thrombolytic therapy and after balloon catheter dilation of origin of vein. Only a fragment of thrombus remains (arrow). Mayo Clinic Proceedings , DOI: ( /S (12) ) Copyright © 1994 Mayo Foundation for Medical Education and Research Terms and Conditions
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Fig. 4 Left hepatic venogram obtained after extraction of residual thrombus. Venous flow is now normal, and no intrahepatic collateral veins are identified. Compare with Figures 2 and 3, in which collateral veins are prominent. Mayo Clinic Proceedings , DOI: ( /S (12) ) Copyright © 1994 Mayo Foundation for Medical Education and Research Terms and Conditions
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Fig. 5 Diagram of suggested algorithmic approach for patients with acute obstruction of hepatic veins. Mayo Clinic Proceedings , DOI: ( /S (12) ) Copyright © 1994 Mayo Foundation for Medical Education and Research Terms and Conditions
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