- Membranous obstruction of the inferior vena cava
- Blood-thinning (anticoagulation) medications
- Clot-busting drugs (thrombolytic treatment)
- Treatment for the liver disease, including ascites
Surgical treatments may also be considered and include:
- Angioplasty and stent placement
- Transjugular intrahepatic portosystemic shunt (TIPS)
- Venous shunt surgery
While medical therapy can be instituted for short-term, symptomatic benefit, medical therapy alone has been associated with a high 2-year mortality rate (80-85%).
In cases of severe cirrhosis liver transplant may be needed. You can view more detailed information regarding the medical and surgical options for treatment of Budd-Chiari syndrome by visiting the Medscape Reference website on Budd-Chiari syndrome treatment & managment. You may need to register to view the article, but registration is free.
- Hepatic vein obstruction (Budd-Chiari). MedlinePlus. 2014; http://www.nlm.nih.gov/medlineplus/ency/article/000239.htm.
- Roy PK, Choudhary A, Shojamanesh H, Bragg J, Dehadrai G, Bashir S. Budd-Chiari Syndrome: Treatment & Medication. Medscape Reference. 2015; http://emedicine.medscape.com/article/184430-treatment.
- ClinicalTrials.gov lists trials that are studying or have studied Budd-Chiari syndrome. Click on the link to go to ClinicalTrials.gov to read descriptions of these studies.