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. Author manuscript; available in PMC: 2018 Feb 1.
Published in final edited form as: Liver Transpl. 2017 Feb;23(2):135–142. doi: 10.1002/lt.24643

Table 2.

Course of Patients with Acute Liver Failure from Budd Chiari

Patient Year Age Diagnosis Peak AST
(U/L)
Peak
INR
Peak Cr
(mg/dL)
Treatment Course Outcome
1 1999 30 OCPs/Hypercoaguable 9960 3.08 6.4 -Angioplasty/TIPS
-No anticoagulation
Died of cerebral edema, HD 5
2 2000 49 Myelodyplastic
Syndrome
3840 3.1 3.0 -Surgical shunt then transplant
-No anticoagulation
Died after transplant from
primary non-function
3 2000 19 OCPs/Hypercoaguable 6352 7.1 1.6 -Anticoagulation
-TIPS Day 3, transplant Day 6
-Suffered hepatic artery thrombosis
and then re-transplanted
Died HD 40
4 2000 42 PCV 214 1.2 -Anticoagulation and TIPS Survived
5 2001 53 PCV 5662 6.8 3.6 -Transplant day 7
-No anticoagulation
Died POD 11
6 2002 26 PCV 3811 12 2.6 -TIPS (timing of anticoagulation
unclear from chart)
Survived
7 2002 34 PCV 8786 18.6 4.8 -Surgical shunt
-No anticoagulation
Died HD 21
8 2003 32 PNH 2471 3.45 4.4 -TPA/anticoagulation
-TIPS day 11
Died 4.5 months after admission
9 2005 55 CML 1211 3.1 3.3 -Anticoagulation and supportive
care
Died HD 28
10 2005 46 F V Leiden 4.8 -Anticoagulation then transplant Survived
11 2006 21 ? 5255 3 1.9 -Anticoagulation then TIPS Bled after TIPS. Died day HD 11
12 2007 38 ? 1867 9 15.8 -Thrombolysis Died from cerebral edema
13 2009 35 Thrombocythemia 5005 6 7.15 -Anticoagulation and TIPS Died HD 13 from intracerebral
hemorrhage related to
intracranial pressure monitor
14 2010 47 ? 1842 3.1 3 -Anticoagulation and
transplant(day 5)
Survived
15 2010 59 PCV 922 7.1 1.89 -Anticoagulation then transplant
(day 11)
Survived
16 2011 28 ? 1038 3.9 1.07 -Anticoagulation the TIPS Survived
17 2015 50 PCV 3600 8.2 2.63 -Anticoagulation then transplant Survived
18 2015 49 ? 11856 6.6 -Supportive care only, “too sick” Died HD 2
19 2015 35 PCV 2482 4.9 1.8 Anticoagulation alone Survived