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| 1 | Necessity and indications of invasive treatment for Budd-Chiari syndrome显示文摘BACKGROUND:The development of collaterals in Budd-Chiari syndrome has been described and these collaterals play an important role in the presentation of this disease.These collaterals are diagnostic and their use in management strategy has never been evaluated.This study aimed to investigate the indications,feasibility and necessity of invasive treatment for patients with Budd-Chiari syndrome and to determine whether such a strategy is necessary for optimal management.METHODS:Twenty-nine patients who had been treated at our unit were enrolled in this study.Based on physical and biochemical examination,and hemodynamic compensation by collaterals,18 patients underwent radiological intervention (group A),while the other 11 had no invasive treatment (group B).The related hemodynamic parameters were acquired when percutaneous angiography was performed.RESULTS:In group A,all patients underwent successfully inferior vena cava (IVC) balloon angioplasty with or without stenting.Four patients also underwent hepatic vein angioplasty.In these patients,the mean IVC pressure before and after treatment was statistically different (29.3±9.2 vs 15.1±4.6 mmHg,P<0.01).The mean IVC pressure was much lower in group B than in group A (12.9±2.4 vs 29.3±9.2 mmHg,P<0.01),but there was no difference from that of the patients after radiological treatment (12.9±2.4 vs 15.1±4.6 mmHg,P>0.05).Median follow-up was 32.3 months (mean 21.3 months;range 3-61 months).In the course of follow-up,the patients in group A survived with good systemic status except for re-stenosis in one patient who underwent re-canalization of the IVC.In group B,10 patients had good systemic status except one patient who had a meso-caval shunt because of deterioration.CONCLUSIONS:The rationale of 'early diagnosis and early treatment' is not suitable for all patients with Budd-Chiari syndrome.Satisfactory survival can be achieved in some patients without invasive treatment,who are completely compensated by rich collaterals.Nonetheless,a positive treatment procedure should be performed if the patient's situation worsens in the course of regular follow-up. | Department of General Surgery (Fu Y,Sun YL,Ma XX,Xu PQ,Feng LS,Tang Z and Luo CH),Institute of Hepatic Vascular Disease (Sun YL),Department of Radiological Intervention (Guan S and Wang ZW),First Affiliated Hospital,Zhengzhou University School of Medicine,Zhengzhou 450052,China | 2011 | Hepatobiliary & Pancreatic Diseases International2011，10，3： | 10 |
| 2 | Sonochemical effect of a bifrequency irradiation显示文摘The sonochemical effect of a bifrequency orthogonal ultrasonic irradiation has been studied by using two different detecting methods. It has been shown that the sonochemical yield produced by the bifrequency irradiation appears to be much more than the sum of the yields produced separately by the two irradiations. The bifrequency irradiation, therefore, can be expected to exert a great influence on the development of sonohemical | ZHU Changping, FENG Ruo & ZHAO Yiyun Department of Physics. Jingzhou Normal College, Jingzhou 434100, China State Key Laboratory of Modern Acoustics, Nanjing University, Nanjing 210093, China Chemistry Department of Yunnan University, Kunming 650091, Ch | 2000 | Chinese Science Bulletin2000，45，2： | 7 |
| 3 | Texture image segmentation based on improve wavelet neural network显示文摘 | FENG D CH YANG ZH X QIAO X J | 2007 | Lecture Notes in computer science2007，，4493： | 1 |
| 4 | Clinical application of the in- ternal mammary artery perforator flap in head and neck reconstruc- tion显示文摘 | Yu BT Hsieh CH Feng GM | 2013 | Plast Reeanstr Surg2013，131，4： | 1 |
| 5 | Atherosclerosis is a more rational term for the pathological entity currently knowed as atherosclerosis 显示文摘 | Li JJ Feng CH | 2004 | Med Hypotheses2004，63，1： | 1 |
| 6 | Multiphasic MDCT in small bowel volvulus显示文摘 | Feng ST Sun CH | | 0，，02： | 1 |
| 7 | Mutations in the dystrophin gene are associated withsporadic dilated cardiomyopathy显示文摘 | Feng J Yan JY Buzin CH | | 0，，： | 1 |
| 8 | Vocalacrobatics in a Chinese frog,Amolops tormotus显示文摘 | Feng AS PM Narins CH Xu | 2002 | Naturwissenschaften2002，89，： | 1 |
| 9 | Clinical application of the in- ternal mammary artery perforator flap in head and neck reconstruc- tion显示文摘 | Yu BT Hsieh CH Feng GM | 2013 | Plastic Reconstr Surg2013，131，4： | 1 |
| 10 | Ultrasonic communicationin frogs显示文摘 | Feng AS PM Narins CH Xu WY Lin ZL Yu Q Qiu ZM Xu and JX Shen | 2006 | Nature2006，440，： | 1 |
| 11 | C-reactive protein is not only an inflammatory marker but also a direct cause of cardiocascular disease显示文摘 | Li JJ Feng CH | | 0，，： | 1 |
| 12 | The effect of cognitive behavioral group therapy for depression: a meta-analysis 2000 -2010 显示文摘 | Feng CY Chu H Chen CH | 2012 | Worldviews Evid Based Nurs2012，9，1： | 1 |
| 13 | Clinical application of the internal mammary artery perforator flap in head and neck recon- struction显示文摘 | Yu BT Hsieh CH Feng GM | 2013 | Plast Reconstr Surg2013，131，4： | 1 |
| 14 | Coumarins from the herb cni- dium monnieri and chemically modified derivatives as an- tifoulants against balanus albicostatus and bugula neritina larvae显示文摘 | Wang ZC Feng DQ Ke CH | 2013 | Int J Mol Sci2013，14，1： | 1 |
| 15 | MicroRNA-375 promotes 3T3-L adipocyte differentiation through modulation of extracellular signal-regulated kinase signalling显示文摘 | Ling HY Wen GB Feng SD Tuo QH Ou HS Yao CH | 2011 | Clin Exp Pharmacol Physiol2011，38，4： | 1 |
| 16 | Modified phase--shifted PWM control for flying capacitor multilevel converters 显示文摘 | FENG CH M | 2007 | IEEE Transactions on Power Electronics2007，22，1： | 1 |
| 17 | l)etermination of volatile organic compounds in workplace air by multlsorbent adsorption/thermal de- sorption- GC/MS显示文摘 | Wu CH Feng CT Lo YS | 2004 | Chemosphere2004，56，： | 1 |
| 18 | Sepsis risk factors associated with HIV-1 patients undergoing surgery显示文摘 | Feng T Feng XL Jiang CH | 2015 | Emerg Microbes Infec2015，，： | 1 |
| 19 | Measurement of toxic volatile or- ganic compounds in indoor air of semiconductor foundries using muhi- sorbent adsorption/thermal desorption coupled with gas chromatography - mass spectrometry 显示文摘 | Wu CH Lin MN Feng CT | 2003 | Journal of Chromatography A2003，996，12： | 1 |
| 20 | C2 reactive protein is not only an inflammatory marker but also a direct cause of cardiovascular disease显示文摘 | Li JJ feng CH | 2004 | Med Hypot hese2004，62，： | 1 |
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