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The Role of Intravascular Intervention in the Management of Budd-Chiari Syndrome

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Abstract

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.

Conclusion

Intravascular intervention is a safe and effective therapy for most types of BCS.

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Authors and Affiliations

  1. Department of Gastroenterology, First Affiliated Hospital of Medical College, Xi’an Jiao Tong University, Xi’an, China

    Hui Xue, Ying-Chao Li, Pramod Shakya, Muna Palikhe & Rajiv Kumar Jha

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  1. Hui Xue
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  2. Ying-Chao Li
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  3. Pramod Shakya
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  4. Muna Palikhe
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  5. Rajiv Kumar Jha
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Correspondence to Hui Xue.

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Xue, H., Li, YC., Shakya, P. et al. The Role of Intravascular Intervention in the Management of Budd-Chiari Syndrome. Dig Dis Sci 55, 2659–2663 (2010). https://doi.org/10.1007/s10620-009-1087-7

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  • DOI: https://doi.org/10.1007/s10620-009-1087-7

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