Evaluation of different radiological interventional treatments of Budd–Chiari syndrome

AimTo evaluate the efficacy of various interventional techniques in treatment of Budd–Chiari syndrome (BCS).Patients methods103 patients with BCS were included in the study. There were 9/103 (8.7%) patients with obstruction of inferior vena cava (IVC) (type I), 17/103 (16.6%) patients with hepatic vein obstruction (type II), 71/103 (68.9%) patients with veno-occlusive diseases (type III) and 6/103 (5.8%) patients with veno-occlusive disease combined with caval thrombosis (type IV). Recanalization techniques of hepatic veins and IVC, and TIPS were used.ResultsOf all the subjects, 101 successfully underwent their procedures, with a technical success rate of 98.06%; only 2 failed to do TIPS. After treatments, 2 patients died after operation because of severe intra-abdominal hemorrhage. One hundred and one patients were followed up for 1–94 months. The mean follow-up of a BCS patient treated with PTA was 52.1 months, with an overall primary patent rate of 69.2% (18/26). The mean follow-up of BCS treated with TIPS was 33.5 months, with an overall primary patent rate of 72.7% (56/77). Eight patients died 7–64 months after the interventions.ConclusionsRecanalization of IVC/hepatic vein and TIPS can be regarded as safe and effective interventional invasive methods in the treatment of BCS.