Treatment of Budd-Chiari syndrome by hepatic vein occlusion and stent replacement
- VernacularTitle:球囊扩张合并支架置入治疗肝静脉阻塞型布-加综合征疗效观察
- Author:
Zhanxin YIN
;
Guohong HAN
;
Jianhong WANG
;
Chuangye HE
;
Xiangjie MENG
;
Anhua SUN
;
Jie DING
;
Kaichun WU
;
Daiming FAN
- Publication Type:Journal Article
- Keywords:
Budd Chiari syndrome;
Radiography,interventional;
Stents
- From:
Chinese Journal of Digestion
2008;28(3):157-159
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of hepatic vein occlusion and stent replacement in treatment for Budd-Chiari syndrome(BCS).Methods Forty three patients with BCS were underwent percutanous puncture,radiography,transjugular angioplasty,balloon dilation and stent placement for hepatic vein under Doppller ultrasounographic guidance from July 2001 to September 2006. Results Technical success was 100%with no complications.The medium vein pressure was reduced from 32.5 tO 20 cm H2O(1 cm H2O-0.098 kPa)after stents replacement(P<0.01).The hepatic vein angioplasty revealed that all stents were patent and branches were disappeared.The symptoms in 38 patients were disappeared immediately,and improved in 5 patients.All patients were followed up of 32 months(ranged 1-62).Except one patient died of severe gastric bleeding,the 42 patients were survived with symptoms free.Conclusion Hepatic vein occlusion and stent replacement are safe and effective in treatment of BCS.