布-加综合征的介入治疗：141例患者的远期疗效分析

doi:DOI:10.12117/jccmi.2019.08.014

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Abstract Objective: To assess the long-term outcome of percutaneous recanalization in a large case series of patients with Budd-Chiari syndrome(BCS). Methods: Between July 1988 and August 2013, 161 consecutive Chinese patients with BCS were treated with percutaneous recanalization. Cumulative survival rates were assessed by Kaplan-Meier method, and independent predictors of survival were calculated with the Cox regression model. Results: Percutaneous recanalization was technically successful in 153 of the 161 patients(95%). Two patients died 16 h and 72 h respectively after operation because of disseminated intravascular coagulation(DIC) and severe hemoptysis, respectively. One hundred and forty-one out of the remaining 153 patients with BCS were successfully followed up. Patients with stent placement had a similar rate of reocclusion with those with percutaneous angioplasty(PTA) alone(P>0.1). Among 85 patients in patency group, as compared to 56 patients in reocclusion group, 6 versus 26 died: 0 versus 12 of liver failure, 0 versus 8 of variceal bleeding, and 6 versus 6 of reocclusion-unrelated diseases. Reocclusion was associated with a shorter survival(P<0.001). Out of 56 patients experiencing reocclusion, thirty received further intervention. Eight of these thirty patients had died of liver failure(n=2), neoplasm(n=4), and other fatal reocclusion-unrelated diseases(n=2). Conclusion: In patients with BCS treated with percutaneous recanalization, stent placement should be cautious for its similar reocclusion rate with PTA alone, and reocclusion has a major impact on morbidity and mortality. For patients experiencing reocclusion, revision of reocclusion is recommended for its corresponding prognosis improvement.

Key words： Hepatic vein thrombosis Radiology, interventional

Received: 27 July 2018

PACS:	Ｒ543.6
	Ｒ815

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	WANG Qiao-zheng1
	ZHANG Wei2
	CHEN Xiao-wei1
	XU Ke1

Cite this article:

WANG Qiao-zheng1,ZHANG Wei2,CHEN Xiao-wei1, et al. Percutaneous recanalization for Budd-Chiari syndrome: long-term outcomes in 141 Chinese patients[J]. JOURNAL OF CHINA MEDICAL IMAGING, 2019, 30(8): 586-590.

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http://www.jccmi.com.cn/EN/DOI:10.12117/jccmi.2019.08.014 OR http://www.jccmi.com.cn/EN/Y2019/V30/I8/586

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