BACKGROUND: The development of collaterals in @entity3181 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 @entity1 with @entity3181 and to determine whether such a strategy is necessary for optimal management. METHODS: Twenty-nine @entity1 who had been treated at our unit were enrolled in this study. Based on physical and biochemical examination, and hemodynamic compensation by collaterals, 18 @entity1 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 @entity1 underwent successfully inferior vena cava (IVC) balloon angioplasty with or without stenting. Four @entity1 also underwent hepatic vein angioplasty. In these @entity1 , 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 @entity1 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 @entity1 in group A survived with good systemic status except for @entity850 in one @entity1 who underwent re-canalization of the IVC. In group B, 10 @entity1 had good systemic status except one @entity1 who had a meso-caval shunt because of deterioration. CONCLUSIONS: The rationale of "early diagnosis and early treatment" is not suitable for all @entity1 with @entity3181 . Satisfactory survival can be achieved in some @entity1 without invasive treatment, who are completely compensated by rich collaterals. Nonetheless, a positive treatment procedure should be performed if the @entity1 's situation worsens in the course of regular follow-up.

Necessity and indications of invasive treatment for XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity850 :: ('MESH:D003251', 'Disease') :: ['re-stenosis'] @entity3181 :: ('MESH:D006502', 'Disease') :: ['Budd-Chiari syndrome']
@entity3181 :: (MESH:D006502,Disease) :: ['Budd-Chiari syndrome']
