Objective:To evaluate the treatment of Budd-chiari syndrome (BCS) with inferior vena cava (IVC) thrombosis.
Methods :The clinical data of 75 cases of BCS with inferior vena cava thrombosis were retrospectively analysed.Among them, 22 cases underwent radical resection of lesion and thrombns extraction; 41 cases had cavocaval shunt or cavoatrial shunt; 12 patients had percutaneous transluminal angioplasty (PTA) and endoluminal metallic stent (EMS) placement.
Results:Successful operations were performed in 73 patients and 2 patients died. The vena cava pressure decreased narkedly after treatment. Seventy-three patients were followed-up from 6 months to 6 years, 4 patients had recurrence, of which 2 had artificial blood vessel obstruction, and 2 had restenosis of IVC.
Conclusions:The operative method selected for BCS with inferior vena cava thrombosis should be based on the segment of obstruction and the length of thrombosis, and the majority of patients can have a favorable outcome.