Clinical analysis of mistakes in treatment of Budd-Chiari syndrome by stent placement in inferior vena cava:a report of 21 cases
- VernacularTitle:21例下腔静脉放置支架治疗布-加综合征失误临床分析
- Author:
Xiuxian MA
;
Xiaowei DANG
;
Peiqin XU
- Publication Type:Journal Article
- Keywords:
Hepatic Vein Thrombosis/surg;
Vena Cava,Inferior/surg;
Stenes
- From:
Chinese Journal of General Surgery
1997;0(06):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the indications for interventional therapy of Budd-Chiari syndrome((B-CS)) and surgical treatment after stent failure. Methods A retrospective analysis of the clinical data of 21 patients with mistakes in treatment of B-CS by stent placement in inferior vena cava(IVC).Results (Among) the 21 cases with mistakes, the indications were inappropriately selected in 6 cases, the main hepatic vein was obstructed by the stent in 1 case, dilated accessory veins were occluded in 10 cases, the stent was (displaced) in 3 cases, and the stent failed to unfold in 1 case. Nineteen cases were converted to operation; of these patients, a shunt was performed in 18 cases, and radical excision of diaphragmatic web of IVC was done in 1 case. Operation was successful in all 19 cases. After shunt procedure in the 18 cases, the free portal pressure significantly decreased(P
