Evaluation of different radiological interventional treatments of Budd–Chiari syndrome

Aim: To evaluate the efficacy of various interventional techniques in treatment of Budd–Chiari syndrome (BCS). Patients methods: 103 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. Results: Of 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. Conclusions: Recanalization of IVC/hepatic vein and TIPS can be regarded as safe and effective interventional invasive methods in the treatment of BCS