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綜合征的影像綜合診斷與介入治療[J].中國醫學計算機成像雜志, 2002, 8(2):108-115.
2.	馮廣森, 劉小玲, 朱敬松, 等.不同類型Budd-chiari綜合征的介入治療[J].河南外科學雜志, 2012, 18(1):1-3.
3.	樊慶勇.524例Budd-Chiari綜合征介入治療并發癥回顧性分析[J].中國臨床醫學影像雜志, 2013, 24(2):104-109.
4.	顧玉明, 祖茂衡, 徐浩, 等.500例Budd-Chiari綜合征介入治療并發癥分析[J].中華放射學雜志, 2003, 37(12):1083-1086.
5.	牛志科, 呂光華, 杜飛, 等.布-加綜合征介入治療及并發癥分析[J].介入放射學雜志, 2010, 19(5):405-409.
6.	李曉強, 李文東.布加綜合征介入治療的并發癥及處理[J].中國醫師雜志, 2014, 16(3):292-294.
7.	馬波民, 孟慶義.介入治療布加綜合征的并發癥及防治[J].中國現代醫學雜志, 2006, 16(12):1869-1870, 1873.
8.	邵永, 魏寧, 徐浩, 等.布-加綜合征介入治療并發股動脈假性動脈瘤的治療探討[J].徐州醫學院學報, 2013, 33(11):725-728.
9.	祖茂衡, 徐浩, 顧玉明, 等.不同類型Budd-Chiari綜合征的介入治療(附200例分析)[J].中華放射學雜志, 1998, 32(2):46-49.
10.	魏寧, 徐浩, 祖茂衡, 等.布加綜合征介入治療并發心包填塞的急救處理[J].中華放射學雜志, 2014, 48(5):432-434.
11.	張璐西, 祖茂衡, 吳金平, 等.Budd-Chiari綜合征介入治療并發心臟壓塞的分析和處理[J].介入放射學雜志, 2011, 20(12):944-947.
12.	周為民, 熊吉信, 李曉強, 等.Budd-Chiari綜合征介入治療并發心包填塞的外科及腔內治療[J].中國普通外科雜志, 2011, 20(6):589-593.
13.	徐浩.布-加綜合征疑難病例的介入治療[J].臨床肝膽病雜志, 2013, 29(10):748-751.
14.	靳海英, 張和平, 韓新巍.大球囊擴張治療下腔靜脈節段型Budd-Chiari綜合征探討[J].當代醫學, 2009, 15(35):648-649.
15.	王磊, 滕飛, 華淺近, 等.下腔靜脈阻塞型布加綜合征阻塞端形態學研究[J].當代醫學, 2013, 19(19):26-28.
16.	祖茂衡, 徐浩, 顧玉明, 等.布-加綜合征介入治療——導絲貫穿法行下腔靜脈和肝靜脈成形術[J].介入放射學雜志, 2006, 15(9):521-523.
17.	魏寧, 祖茂衡, 徐浩, 等.布加綜合征下腔靜脈阻塞端合并鈣化致球囊擴張破裂的治療體會[J].中華放射學雜志, 2013, 47(5):472-474.
18.	蘇洪英, 徐克, 祖茂衡, 等.國產ZQ型腔靜脈支架治療布-加綜合征下腔靜脈病變的療效觀察[J].中國醫學影像技術, 2003, 19(10):1341-1343.
19.	楊學良, 鄧映和.下腔靜脈膜性阻塞癥PTA治療中的肺栓塞防治[J].中華放射學雜志, 1994, 28(12):850-853.
20.	張慶橋, 徐浩, 祖茂衡, 等.根據布加綜合征合并下腔靜脈血栓性質制定介入治療方案的療效評估[J].中華放射學雜志, 2013, 47(11):1027-1031.
21.	許偉, 祖茂衡, 徐浩, 等.下腔靜脈廣泛新鮮血栓形成Budd-Chiari綜合征的綜合介入治療[J].實用放射學雜志, 2007, 23(5):677-678, 692.
22.	孟慶義, 孫念峰, 王瑞華, 等.介入治療布-加綜合征883例體會[J].臨床肝膽病雜志, 2011, 27(2):127-129.

1. 祖茂衡.Budd-Chiari綜合征的影像綜合診斷與介入治療[J].中國醫學計算機成像雜志, 2002, 8(2):108-115.
2. 馮廣森, 劉小玲, 朱敬松, 等.不同類型Budd-chiari綜合征的介入治療[J].河南外科學雜志, 2012, 18(1):1-3.
3. 樊慶勇.524例Budd-Chiari綜合征介入治療并發癥回顧性分析[J].中國臨床醫學影像雜志, 2013, 24(2):104-109.
4. 顧玉明, 祖茂衡, 徐浩, 等.500例Budd-Chiari綜合征介入治療并發癥分析[J].中華放射學雜志, 2003, 37(12):1083-1086.
5. 牛志科, 呂光華, 杜飛, 等.布-加綜合征介入治療及并發癥分析[J].介入放射學雜志, 2010, 19(5):405-409.
6. 李曉強, 李文東.布加綜合征介入治療的并發癥及處理[J].中國醫師雜志, 2014, 16(3):292-294.
7. 馬波民, 孟慶義.介入治療布加綜合征的并發癥及防治[J].中國現代醫學雜志, 2006, 16(12):1869-1870, 1873.
8. 邵永, 魏寧, 徐浩, 等.布-加綜合征介入治療并發股動脈假性動脈瘤的治療探討[J].徐州醫學院學報, 2013, 33(11):725-728.
9. 祖茂衡, 徐浩, 顧玉明, 等.不同類型Budd-Chiari綜合征的介入治療(附200例分析)[J].中華放射學雜志, 1998, 32(2):46-49.
10. 魏寧, 徐浩, 祖茂衡, 等.布加綜合征介入治療并發心包填塞的急救處理[J].中華放射學雜志, 2014, 48(5):432-434.
11. 張璐西, 祖茂衡, 吳金平, 等.Budd-Chiari綜合征介入治療并發心臟壓塞的分析和處理[J].介入放射學雜志, 2011, 20(12):944-947.
12. 周為民, 熊吉信, 李曉強, 等.Budd-Chiari綜合征介入治療并發心包填塞的外科及腔內治療[J].中國普通外科雜志, 2011, 20(6):589-593.
13. 徐浩.布-加綜合征疑難病例的介入治療[J].臨床肝膽病雜志, 2013, 29(10):748-751.
14. 靳海英, 張和平, 韓新巍.大球囊擴張治療下腔靜脈節段型Budd-Chiari綜合征探討[J].當代醫學, 2009, 15(35):648-649.
15. 王磊, 滕飛, 華淺近, 等.下腔靜脈阻塞型布加綜合征阻塞端形態學研究[J].當代醫學, 2013, 19(19):26-28.
16. 祖茂衡, 徐浩, 顧玉明, 等.布-加綜合征介入治療——導絲貫穿法行下腔靜脈和肝靜脈成形術[J].介入放射學雜志, 2006, 15(9):521-523.
17. 魏寧, 祖茂衡, 徐浩, 等.布加綜合征下腔靜脈阻塞端合并鈣化致球囊擴張破裂的治療體會[J].中華放射學雜志, 2013, 47(5):472-474.
18. 蘇洪英, 徐克, 祖茂衡, 等.國產ZQ型腔靜脈支架治療布-加綜合征下腔靜脈病變的療效觀察[J].中國醫學影像技術, 2003, 19(10):1341-1343.
19. 楊學良, 鄧映和.下腔靜脈膜性阻塞癥PTA治療中的肺栓塞防治[J].中華放射學雜志, 1994, 28(12):850-853.
20. 張慶橋, 徐浩, 祖茂衡, 等.根據布加綜合征合并下腔靜脈血栓性質制定介入治療方案的療效評估[J].中華放射學雜志, 2013, 47(11):1027-1031.
21. 許偉, 祖茂衡, 徐浩, 等.下腔靜脈廣泛新鮮血栓形成Budd-Chiari綜合征的綜合介入治療[J].實用放射學雜志, 2007, 23(5):677-678, 692.
22. 孟慶義, 孫念峰, 王瑞華, 等.介入治療布-加綜合征883例體會[J].臨床肝膽病雜志, 2011, 27(2):127-129.

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CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

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

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