Effects of patent accessory hepatic vein in the treatment of Budd-Chiari syndrome with hepatic vein occlusion
10.3760/cma.j.cn113855-20200512-00381
- VernacularTitle:肝静脉型布加综合征治疗中开通副肝静脉的临床价值评估
- Author:
Lei LIU
1
;
Guoxin HOU
;
Tao ZHANG
Author Information
1. 郑州人民医院介入科 450053
- Keywords:
Budd-Chiari syndrome;
Hepatic veins;
Vena cava, inferior;
Endovascular procedures
- From:
Chinese Journal of General Surgery
2021;36(7):512-515
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the clinical significance of patent accessory hepatic vein (AHV) in treatment of Budd-Chiari syndrome (BCS) with hepatic vein occlusion.Methods:The clinical data of 21 BCS patients treated from Jan 2010 to June 2019 were retrospectively analyzed. All patients underwent AHV and IVC venography.Results:Angiography showed that the diameter of AHV was 6-13mm after the procedure, the angle between AHV and the distal end of IVC was (106.9±27.7)°, and 57.1% of the AHV were opened at the right side of IVC, 9.5% at the front, and 1.4% at the left side, respectively. The technical success rate was 100%. Thirteen patients with AHV disease underwent balloon dilatation angioplasty, and their preoperative AHV pressure dropped from (41.6±6.4) cm H 2O to (22.2±5.5) cm H 2O ( t=11.966, P<0.01). The preoperative AHV and intrahepatic IVC pressure decreased from (29.1±3.3) cm H 2O to (19.1±8.8) cm H 2O ( t=8.136, P<0.01) and from (25.5±6.1) cm H 2O to (13.8±4.0) cm H 2O ( t=5.536, P<0.01), respectively. All patients were of no symptom during follow up for 6 months and ultrasound showed that the patency rate of original lesion was 100%. Conclusion:A patent AHV helps alleviate the symptoms and blood congestion of BCS patients with hepatic vein obstruction.
