Presentation of Hospital Outcomes and Different Treatment Methods of Patients with Budd-Chiari Syndrome: A Report from Two Tertiary Hospitals in Iran

Objective: The aim of this study was to report common presentations of Budd-Chiari syndrome (BCS) and the early outcome of different treatment methods in two tertiary hospitals in Iran. Subjects and Methods: This case series study was performed on 21 patients (mean age: 42 8 13.09 years; 11 male, 52.4%, and 10 female, 47.6%) admitted for treatment of BCS in two tertiary referral centers in Mashhad, Iran, between 2002 and 2008. All required data of signs, underlying etiology, treatment methods and in-hospital mortality were gathered from patients’ medical records. Results: Angiographic and sonographic findings showed that the most frequent isolated location of obstruction was the inferior vena cava (n = 12, 57.1%). No distinct underlying disease was found in 6 (28.6%) patients. Eleven (52.4%) patients had web obstruction and 4 patients had other related underlying diseases. Treatment modalities consisted of medical follow-up in 12 (57.1%), angioplasty in 6 (28.6%), and surgery in 3 (14.3%) patients. Medical follow-up of 3 patients, 1 with angioplasty and 2 who had undergone surgery, disclosed that they had died before discharge from hospital. Conclusion: Higher age at diagnosis may reflect late diagnosis at an advanced stage Received: July 28, 2009 Accepted: September 30, 2010 Dr. Mahmoud Ebrahimi Department of Interventional Cardiology, Cardiovascular Research Center Imam Reza Hospital, Mashhad University of Medical Sciences (MUMS) Mashhad (Iran) Tel. +98 9 151 118 714, Fax +98 511 768 4522, E-Mail ebrahimi_cardiology @ yahoo.com © 2011 S. Karger AG, Basel 1011–7571/11/0203–0287$38.00/0 Accessible online at: www.karger.com/mpp D ow nl oa de d by : 54 .7 0. 40 .1 1 11 /1 8/ 20 17 7 :0 8: 29 P M