Treatments to Deal with Difficult Cases and Complications During Interventional Therapy for Budd-Chiari Syndrome: Report of 1 859 Cases_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 ZUMao-heng , XUHao , GUYu-ming , ZHANGQing-qiao , WEINing , XUWei , CUIYan-feng , XIAFeng-fei , HULin

Department of Interventional Radiology, The Affiliated Hospital of Xuzhou Medical College, Xuzhou 221006, Jiangsu Province, China;

Corresponding author：

ZUMao-heng, Email: cjr.zumaoheng@vip.163.com

Keywords：

Budd-Chiari syndrome; Interventional therapy; Complication; Strategy

DOI：

10.7507/1007-9424.20140354

Video：

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Objective To summarize the types of difficult cases and complications during interventional therapy for Budd-Chiari syndrome, and to propose solutions to these problems and complications. Methods Clinical data of 1 859 cases of Budd-Chiari syndrome (2 214 times) who underwent interventional diagnosis and therapy from Jan. 1990 to Sep. 2014 in our hospital were retrospectively analyzed. Results Of the 2 214 times, complications happened in 31 times, which were related to the interventional therapy, and the incidence of complication was 1.40% (31/2 214). Of the 31 times who suffered from complications, 25 times were successfully treated, and the successful rate was 80.65%. Three hundreds and seventy two times had been successful treated in 396 times with difficult situation (there were 9 times without treatment), and the successful rate was 96.12% (372/387). Seven patients abandoned inteventional therapy. Six cases died during the operation and hospital stay period, and the mortality was 0.32% (6/1 852). There were 1 553 cases were followed-up for 10-284 months (average of 100.9 months). During the follow-up period, 209 cases suffered from restenosis, and the restenosis rate was 13.46% (209/1 553). Conclusion Interventional therapy for Budd-Chiari syndrome has entered a mature stage, discover timely and correct handling of intraoperative complications are important to improve the successful rate and curative effect.

Citation： ZUMao-heng, XUHao, GUYu-ming, ZHANGQing-qiao, WEINing, XUWei, CUIYan-feng, XIAFeng-fei, HULin. Treatments to Deal with Difficult Cases and Complications During Interventional Therapy for Budd-Chiari Syndrome: Report of 1 859 Cases. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2014, 21(12): 1487-1494. doi: 10.7507/1007-9424.20140354 Copy

1.	祖茂衡.Budd-Chiari综合征的影像综合诊断与介入治疗[J].中国医学计算机成像杂志, 2002, 8(2):108-115.
2.	冯广森, 刘小玲, 朱敬松, 等.不同类型Budd-chiari综合征的介入治疗[J].河南外科学杂志, 2012, 18(1):1-3.
3.	樊庆勇.524例Budd-Chiari综合征介入治疗并发症回顾性分析[J].中国临床医学影像杂志, 2013, 24(2):104-109.
4.	顾玉明, 祖茂衡, 徐浩, 等.500例Budd-Chiari综合征介入治疗并发症分析[J].中华放射学杂志, 2003, 37(12):1083-1086.
5.	牛志科, 吕光华, 杜飞, 等.布-加综合征介入治疗及并发症分析[J].介入放射学杂志, 2010, 19(5):405-409.
6.	李晓强, 李文东.布加综合征介入治疗的并发症及处理[J].中国医师杂志, 2014, 16(3):292-294.
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8.	邵永, 魏宁, 徐浩, 等.布-加综合征介入治疗并发股动脉假性动脉瘤的治疗探讨[J].徐州医学院学报, 2013, 33(11):725-728.
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10.	魏宁, 徐浩, 祖茂衡, 等.布加综合征介入治疗并发心包填塞的急救处理[J].中华放射学杂志, 2014, 48(5):432-434.
11.	张璐西, 祖茂衡, 吴金平, 等.Budd-Chiari综合征介入治疗并发心脏压塞的分析和处理[J].介入放射学杂志, 2011, 20(12):944-947.
12.	周为民, 熊吉信, 李晓强, 等.Budd-Chiari综合征介入治疗并发心包填塞的外科及腔内治疗[J].中国普通外科杂志, 2011, 20(6):589-593.
13.	徐浩.布-加综合征疑难病例的介入治疗[J].临床肝胆病杂志, 2013, 29(10):748-751.
14.	靳海英, 张和平, 韩新巍.大球囊扩张治疗下腔静脉节段型Budd-Chiari综合征探讨[J].当代医学, 2009, 15(35):648-649.
15.	王磊, 滕飞, 华浅近, 等.下腔静脉阻塞型布加综合征阻塞端形态学研究[J].当代医学, 2013, 19(19):26-28.
16.	祖茂衡, 徐浩, 顾玉明, 等.布-加综合征介入治疗——导丝贯穿法行下腔静脉和肝静脉成形术[J].介入放射学杂志, 2006, 15(9):521-523.
17.	魏宁, 祖茂衡, 徐浩, 等.布加综合征下腔静脉阻塞端合并钙化致球囊扩张破裂的治疗体会[J].中华放射学杂志, 2013, 47(5):472-474.
18.	苏洪英, 徐克, 祖茂衡, 等.国产ZQ型腔静脉支架治疗布-加综合征下腔静脉病变的疗效观察[J].中国医学影像技术, 2003, 19(10):1341-1343.
19.	杨学良, 邓映和.下腔静脉膜性阻塞症PTA治疗中的肺栓塞防治[J].中华放射学杂志, 1994, 28(12):850-853.
20.	张庆桥, 徐浩, 祖茂衡, 等.根据布加综合征合并下腔静脉血栓性质制定介入治疗方案的疗效评估[J].中华放射学杂志, 2013, 47(11):1027-1031.
21.	许伟, 祖茂衡, 徐浩, 等.下腔静脉广泛新鲜血栓形成Budd-Chiari综合征的综合介入治疗[J].实用放射学杂志, 2007, 23(5):677-678, 692.
22.	孟庆义, 孙念峰, 王瑞华, 等.介入治疗布-加综合征883例体会[J].临床肝胆病杂志, 2011, 27(2):127-129.

1. 祖茂衡.Budd-Chiari综合征的影像综合诊断与介入治疗[J].中国医学计算机成像杂志, 2002, 8(2):108-115.
2. 冯广森, 刘小玲, 朱敬松, 等.不同类型Budd-chiari综合征的介入治疗[J].河南外科学杂志, 2012, 18(1):1-3.
3. 樊庆勇.524例Budd-Chiari综合征介入治疗并发症回顾性分析[J].中国临床医学影像杂志, 2013, 24(2):104-109.
4. 顾玉明, 祖茂衡, 徐浩, 等.500例Budd-Chiari综合征介入治疗并发症分析[J].中华放射学杂志, 2003, 37(12):1083-1086.
5. 牛志科, 吕光华, 杜飞, 等.布-加综合征介入治疗及并发症分析[J].介入放射学杂志, 2010, 19(5):405-409.
6. 李晓强, 李文东.布加综合征介入治疗的并发症及处理[J].中国医师杂志, 2014, 16(3):292-294.
7. 马波民, 孟庆义.介入治疗布加综合征的并发症及防治[J].中国现代医学杂志, 2006, 16(12):1869-1870, 1873.
8. 邵永, 魏宁, 徐浩, 等.布-加综合征介入治疗并发股动脉假性动脉瘤的治疗探讨[J].徐州医学院学报, 2013, 33(11):725-728.
9. 祖茂衡, 徐浩, 顾玉明, 等.不同类型Budd-Chiari综合征的介入治疗(附200例分析)[J].中华放射学杂志, 1998, 32(2):46-49.
10. 魏宁, 徐浩, 祖茂衡, 等.布加综合征介入治疗并发心包填塞的急救处理[J].中华放射学杂志, 2014, 48(5):432-434.
11. 张璐西, 祖茂衡, 吴金平, 等.Budd-Chiari综合征介入治疗并发心脏压塞的分析和处理[J].介入放射学杂志, 2011, 20(12):944-947.
12. 周为民, 熊吉信, 李晓强, 等.Budd-Chiari综合征介入治疗并发心包填塞的外科及腔内治疗[J].中国普通外科杂志, 2011, 20(6):589-593.
13. 徐浩.布-加综合征疑难病例的介入治疗[J].临床肝胆病杂志, 2013, 29(10):748-751.
14. 靳海英, 张和平, 韩新巍.大球囊扩张治疗下腔静脉节段型Budd-Chiari综合征探讨[J].当代医学, 2009, 15(35):648-649.
15. 王磊, 滕飞, 华浅近, 等.下腔静脉阻塞型布加综合征阻塞端形态学研究[J].当代医学, 2013, 19(19):26-28.
16. 祖茂衡, 徐浩, 顾玉明, 等.布-加综合征介入治疗——导丝贯穿法行下腔静脉和肝静脉成形术[J].介入放射学杂志, 2006, 15(9):521-523.
17. 魏宁, 祖茂衡, 徐浩, 等.布加综合征下腔静脉阻塞端合并钙化致球囊扩张破裂的治疗体会[J].中华放射学杂志, 2013, 47(5):472-474.
18. 苏洪英, 徐克, 祖茂衡, 等.国产ZQ型腔静脉支架治疗布-加综合征下腔静脉病变的疗效观察[J].中国医学影像技术, 2003, 19(10):1341-1343.
19. 杨学良, 邓映和.下腔静脉膜性阻塞症PTA治疗中的肺栓塞防治[J].中华放射学杂志, 1994, 28(12):850-853.
20. 张庆桥, 徐浩, 祖茂衡, 等.根据布加综合征合并下腔静脉血栓性质制定介入治疗方案的疗效评估[J].中华放射学杂志, 2013, 47(11):1027-1031.
21. 许伟, 祖茂衡, 徐浩, 等.下腔静脉广泛新鲜血栓形成Budd-Chiari综合征的综合介入治疗[J].实用放射学杂志, 2007, 23(5):677-678, 692.
22. 孟庆义, 孙念峰, 王瑞华, 等.介入治疗布-加综合征883例体会[J].临床肝胆病杂志, 2011, 27(2):127-129.

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Treatments to Deal with Difficult Cases and Complications During Interventional Therapy for Budd-Chiari Syndrome: Report of 1 859 Cases

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