The technique of guide-wire loop in interventional therapy of patients with Budd-Chiari syndrome with hepatic vein obstruction
10.3760/cma.j.issn.1007-8118.2015.08.011
- VernacularTitle:导丝贯穿技术在肝静脉型布加综合征介入治疗中的应用
- Author:
Hongchao ZHU
;
Hao XU
;
Maoheng ZU
;
Yanfeng CUI
;
Ning WEI
;
Wei XU
;
Qingqiao ZHANG
- Publication Type:Journal Article
- Keywords:
Budd-Chiari syndrome;
Balloon dilation;
Hepatic vein;
Interventional therapy
- From:
Chinese Journal of Hepatobiliary Surgery
2015;21(8):551-554
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the value of guide-wire loop in interventional therapy of patients with Budd-Chiari syndrome with hepatic vein obstruction.Methods A retrospective study was conducted on 25 patients with Budd-Chiari syndrome (BCS) with hepatic vein obstruction treated from May 2011 to August 2014.The technique of guide-wire loop was used in these patients.The pressure of the hepatic vein was measured before and after treatment.The difference in the pressure was analyzed by the t test.Results All the patients were treated successfully using guide-wire loop angioplasty.No complications of bleeding,pericardial tamponade and liver capsule hemorrhage were observed.After treatment,the pressure of the hepatic vein reduced from (48.3± 8.0) cmH2O to (20.9 ± 3.8) cmH2O (t =26.82,P ＜ 0.05);The symptoms and physical signs of the patients were relieved or disappeared.BCS-related symptoms reappeared on follow-up in 4 patients,2 were treated by balloon dilation successfully.1 patient was treated with transjugular intrahepatic portosystemic shunt (TIPS) because of decompensated liver cirrhosis.1 patient with ankylosing spondylitis had treatment failure and the symptoms relapsed for the third time.Conclusion The technique of guide-wire loop in interventional therapy of patients with Budd-Chiari syndrome with hepatic vein obstruction is safe and effective,and it can improve the overall success rate of treatment.
