Use of three-dimensional visualization technique in diagnosis and interventional treatment of Budd-Chiari syndrome presenting with inferior vena cava obstruction and dangerous collateral branches
10.3760/cma.j.cn113884-20210728-00243
- VernacularTitle:三维可视化技术在布加综合征下腔静脉阻塞伴危险侧支诊断和介入治疗中的应用
- Author:
Xing LIU
1
;
Qingqiao ZHANG
;
Jinchang XIAO
;
Juncheng SHA
;
Hongliang CHEN
;
Wei KANG
;
Han DING
;
Hao XU
;
Maoheng ZU
Author Information
1. 徐州医科大学附属医院介入放射科，徐州 221006
- Keywords:
Budd-Chiari syndrome;
Inferior vena cava obstruction;
Collateral branch;
Three-dimensional visualization
- From:
Chinese Journal of Hepatobiliary Surgery
2021;27(11):838-841
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the use of three-dimensional (3D) visualization in diagnosis and interventional treatment of patients with Budd-Chiari syndrome (BCS) presenting with inferior vena cava obstruction and dangerous collateral branches.Methods:The data of 28 patients with BCS presenting with inferior vena cava obstruction and dangerous collateral branches treated at the Affiliated Hospital of Xuzhou Medical University from September 2018 to January 2021 were retrospectively analyzed. There were 11 males and 17 females with a mean age of 49.0 years. Enhanced MR images of these 28 patients were used to build 3D visualization of inferior vena cava. Anteroposterior and left lateral digital subtraction angiography (DSA) of inferior vena cava were performed. The inferior vena cava of these patients was recanalized under guidance of 3D visualization, and patency of inferior vena cava was determined on follow up.Results:3D visualization of inferior vena cava was successfully constructed in all the 28 patients, and 51 dangerous collateral branches were displayed. One, 2, 3 and 4 dangerous collateral branches were found in 13, 8, 6 and 1 patients, respectively. The average angle between the preoperative planning puncture route and the long axis of the proximal end of inferior vena cava was 22.2°. The orifices and courses of the dangerous collaterals and the shape of inferior vena cava could be clearly displayed on 3D visualization in all the 28 patients (100.0%), which were significantly better than the 6 patients (21.4%) using DSA obtained in the anteroposterior and left lateral positions (χ 2=20.045, P<0.05). The inferior vena cava was successfully recanalized in all the 28 patients without complications. On follow up of these patients for 2 to 30 months (mean 18.4 months), the inferior vena cava was patent in 25 patients. Three patients developed inferior vena cava re-obstruction at 3, 4 and 14 months after interventional treatment, respectively. Conclusion:3D visualization was useful in the diagnosis and interventional treatment of patients with BCS presenting with inferior vena cava obstruction and dangerous collateral branches.
