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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 | Role and relevance of polarity and hindrance of vinyl monomers in graft copolymerization onto potato starch显示文摘 | Fu Z S Liang W D Yang A M | 2002 | J Appl Polym Sci2002，85，4： | 2 |
| 3 | Effects of the phase-separated melt on crystallization behavior and morphology in short chain branched metallocene polyethylenes显示文摘 | Fu Q Chiu F C McCreight K W Guo M Tseng W W Cheng S Z Keating M Y Hsieh E T and DesLauriers P J | | 0，，： | 2 |
| 4 | Equations of state studies at SILP by laser-driven shock waves显示文摘 | GU Y FU S Z WU J | 1996 | Laser and Particle Beams1996，14，2： | 1 |
| 5 | Jacobi elliptic function expansion method and periodic wave solutions of nonlinear wave equations显示文摘 | LIU S K FU Z T LIU S D ZHAO Q | 2001 | Physics Letters A2001，289，12： | 1 |
| 6 | Improving cooling efficiency of dry-coolingtowers under cross-wind conditions by using wind-breakmethods 显示文摘 | Zhai Z Fu S | 2006 | Applied Thermal Engineering2006，，26： | 1 |
| 7 | The effect of acclima- tion to hypoxia and sustained exercise on subsequent hy- poxia tolerance and swimming performance in goldfish (Carassius auratus)显示文摘 | Fu S J Brauner C J Cao Z D | 2011 | The Journal of Experimental Bi- ology2011，214，12： | 1 |
| 8 | Secretory expression in Escherichia coli and single-step purification of a heat-stable alkaline protease显示文摘 | Fu Z Hamid S B A Razak C A N | | 0，，： | 1 |
| 9 | Solid Solution or Inter-metallics in a High-Entropy Alloy显示文摘 | WANG Y P LI B S FU H Z | 2009 | Advanced En-gineering Materials2009，11，8： | 1 |
| 10 | In vivobiocompatibility andosteogenesis of electrospun poly(ε -caprolactone)-poly(3thyleneglycol)-poly(ε -caprolactone)/nano-hydroxyapatitecomposite scaff-old显示文摘 | FU S Z NI P Y WANG B Y | 2012 | Biomaterials2012，33，33： | 1 |
| 11 | Heterotrimeric G proteins regulate nitrogen-use efficiency in rice 显示文摘 | Sun H Y Qian Q Wu K Luo J J Wang S S Zhang C W Ma Y F Liu Q Huang X Z Yuan Q B Han R X Zhao M Dong G J Guo L B Zhu X D Gou Z H Wang W Wu Y J Lin H X Fu X D | 2014 | Nature Genetics2014，46，4： | 1 |
| 12 | The effect of exhaustive chasing training and detraining on swimming performance in juvenile darkbarbel catfish (Peltebagrus vachelli) 显示文摘 | Liu Y Cao Z D Fu S J | 2009 | Journal Comparative Physiology2009，179，： | 1 |
| 13 | High-temperature magnetic properties of Fe-based nanocrystalline alloy显示文摘 | PENG K LIU F S FU D F HUANG Z G XU F DU Y W | 2005 | Mater Chem & Phys2005，89，： | 1 |
| 14 | The longitudinal 'trapping' phenomenon in the simultaneous acceleration of intense H ^+ and H - in an RFQ 显示文摘 | Xing Q Z Fu S N Lin Y Z | 2005 | Nuclear Instruments and Methods in Physics Research : Section A2005，538，1： | 1 |
| 15 | Effect of temperature on swimming performance in juvenile southern catfish (Silurus meridionalis Chen) 显示文摘 | Zeng L Q Cao Z D Fu S J | 2009 | Comparative Biochemistry and Physiology A2009，153，2： | 1 |
| 16 | Hypoxia-induced oxidative stress in ischemic retinopathy显示文摘 | Li S Y Fu Z J Lo A C | 2012 | Oxid Med Cell Longev2012，2012，42： | 1 |
| 17 | Fabrication,patterning,and optical properties of nanocrystalline YVO4:A(A=Eu3+,Dy3+,Sm3+,Er3+) phosphors films via sol-gel soft lithography显示文摘 | Yu M Lin J Wang Z Fu J Wang S Zhang H J Han J C | | 0，，5： | 1 |
| 18 | A method for constructing trivariate nonseparable compactly supported orthogonal wavelets显示文摘 | LENG J S HUANG T Z FU Y D | 2009 | Inter J Comput Math2009，86，7： | 1 |
| 19 | Effect of feeding and fasting on excess post-exercise oxygen consumption in juvenile southern catfish ( Silurus meridionalis Chen ) 显示文摘 | Fu S J Cao Z D Peng J L | 2007 | Comp Biochem Physiol2007，146，： | 1 |
| 20 | 5-chloro-7-iodo-8-quinolinolato manganese(Ⅲ) with the feature of pHregulated molecular switches as a highly-efficient catalyst for epoxidation of olefins with hydrogen peroxide 显示文摘 | ZHONG S FU Z H TAN Y M | 2008 | Adv Synth Catal2008，350，： | 1 |
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