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| A retrospective analysis of complications in interventional therapy for 524 patients with Budd-Chiari syndrome |
| FAN Qing-yong |
| Department of Interventional Radiology, Heze Municipal Hospital, Heze Shandong 274031, China |
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Abstract Objective: To discuss the prevention and treatment of complications in interventional therapy for Budd-Chiari syndrome(BCS). Methods: Clinical data of 524 patients with BCS treated via interventional therapy were retrospectively analyzed. Among the patients, 74 cases suffered from intraoperative and postoperative complications(74/524, 14.1%). Types of complications, together with their causes and treatment methods were studied. Results: Among the 74 patients who suffered from complications, death occurred in three and successful treatment was obtained in all the other cases, with a death rate of 0.57%. The intraoperative and postoperative complications included those occurring in the puncture sites(n=6), inferior vena cava thrombosis after early diagnostic angiography(n=3), bleeding(n=6), disseminated intravascular coagulation(n=2), mistakenly puncturing into pericardium(n=16), pericardial tamponade(n=4, death in one), acute restenosis during the treatment via PTA(n=5), postoperative restenosis(n=17), cases related to stents(n=19). The incidence rate related to stents was 13.4%, which accounted for 25.7% in all the cases(19/74). Conclusion: Interventional therapy is safe and effective for the treatment of BCS with the advantage of little trauma. However, many kinds of complications still might happen. All kinds of preventive measures should be taken to avoid or reduce the possible complications so as to improve the clinical success rate of interventional therapy.
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Received: 23 April 2012
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2013, Vol. 24 
