Abstract:Objective
To investigate the effect of interventional therapy for BuddChiari Syndrome(BCS).
Methods 355 patients with BCS were examined with phlebography of inferior vena cava(PIVC) and percutaneous transhepatic hepatovenography(PTHV).The interventional procedures were based on the pathological changes of inferior vena cava(IVC) and main hepatic veins(MHVs).The procedures included PTA and/or stent placement of IVC,percutaneous transhepatic recanalization and dilation (PTHRD)of MHVs,and percutaneous transjugular or transinferior vena cava recanalization and dilation with stent placement of MHVs(PTJRD and PTIRD ), percutaneous transhepatic recanalization or transinferior vena cava recanalization and dilation with stent placement of associated hepatic veins(AHVs).
Results The success rate and recurrence rate were 96.0%（240/250） and 10.0 %（24/240）, respectively, in PTA; the success rate was 91.4%（32/35 ） in PTHRD of MHVs; 90.0%（18/20 ） in PTJRD and PTIRD of MHVs, 100.0%（10/10） in PTJRD and PTIRD of AHVs; 90.0 %（ 9/10 ） in PTA and stent placement plus PTHRD of AHVs. Severe complications occurred in 10 cases (2.8%).
Conclusions Interventional therapy is simple, safe and effective for patients with some types of BuddChiari Syndrome.