The role of intravascular intervention in the management of Budd-Chiari syndrome.
OBJECTIVE
To evaluate the efficacy of intravascular intervention in the management of different types of Budd-Chiari syndrome.


METHODS
Fifty-three patients of BCS were clinically diagnosed and interventionally treated in terms of their signs and symptoms of portal hypertension and occlusive inferior vena cava/or hepatic veins with the combination of Doppler ultrasonography, CT scan, and angiography. The interventional methods applied in this study included percutaneous transluminal angioplasty and IVC stent implantation (PTA+IVC stent); transjugular hepatic veno-stent placement (PTA+HV stent) or transjugular transluminal hepatic veno-inferior vena cava stent placement and transcaval transjugular intrahepatic portocaval shunt.


RESULTS
The success rate of intravascular interventional therapy was 92.45% (49/53). After interventional therapy, the patients' pleural effusion, ascites, prominent veins formation of bilateral flanks or backs alleviated, hepatomegaly reduced, and the urinary output increased. The longest follow-up case was 13 years with patent stent. Two patients died of pulmonary embolization or pericardial tamponade during surgery.


CONCLUSIONS
Intravascular intervention is a safe and effective therapy for most types of BCS.
Xue
Hui
H
Department of Gastroenterology, First Affiliated Hospital of Medical College, Xi'an Jiao Tong University, Xi'an, China. Zj2@mail.xjtu.edu.cn
Li
Ying-Chao
YC
Shakya
Pramod
P
Palikhe
Muna
M
Jha
Rajiv Kumar
RK
D000293:Adolescent; D000328:Adult; D000368:Aged; D000800:Angioplasty, Balloon / Q000009:adverse effects / Q000295:instrumentation; D006502:Budd-Chiari Syndrome / Q000175:diagnosis / Q000401:mortality / Q000601:surgery / Q000628:therapy*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006503:Hepatic Veins / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D010690:Phlebography; D019168:Portasystemic Shunt, Transjugular Intrahepatic / Q000009:adverse effects; D015641:Radiography, Interventional; D015607:Stents; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging; D055815:Young Adult