caa a22 4500 605494878 CHVBK 20210128100528.0 cr unu---uuuuu 210128e20151001xx s 000 0 eng 10.1007/s00261-015-0496-7 doi (NATIONALLICENCE)springer-10.1007/s00261-015-0496-7 Percutaneous recanalization for combined-type Budd-Chiari syndrome: strategy and long-term outcome [Elektronische Daten] [Yu-Fei Fu, Yu Li, Yan-Feng Cui, Ning Wei, De-Chun Li, Hao Xu] Purpose: To investigate the feasibility, strategy, and long-term outcome of percutaneous recanalization for combined-type Budd-Chiari syndrome (BCS). Methods: From December 2007 to August 2014, consecutive symptomatic combined-type BCS patients were treated by percutaneous recanalization in our centers. Inferior vena cava (IVC) recanalization was the first-stage treatment for all patients. Recanalization of one hepatic vein (HV) was the second-stage treatment for the selected patients. If the patient had the compensatory and patent accessory HV (AHV), we observed this patient for 7days after IVC recanalization. If the symptoms of portal hypertension improved, HV recanalization was not needed. Otherwise, HV recanalization was performed. If the patient had no patent AHV, HV recanalization was performed 3days after IVC recanalization. Data on technical success, clinical success, and follow-up were analyzed, respectively. Results: Sixty-two symptomatic combined-type BCS patients were enrolled. Technical success of percutaneous recanalization was achieved in 60 patients. Among them, 52 patients had the patent AHV and underwent single IVC recanalization, and 8 patients had no patent AHV and underwent combined IVC and HV recanalization. Clinical success was achieved in all of the 60 patients. Three patients died during the follow-up. The cumulative 1-, 2-, and 4-year survival rates were 98.3%, 96.5%, and 92.7%, respectively. Conclusion: Percutaneous recanalization is suitable for most combined-type BCS patients. Treatment strategy can be made according to the situation of AHV. If the patient has the patent AHV, single IVC recanalization is enough. Otherwise, combined IVC and HV recanalization should be performed. Springer Science+Business Media New York, 2015 Budd-Chiari syndrome nationallicence Recanalization nationallicence Inferior vena cava nationallicence Hepatic vein nationallicence Fu Yu-Fei Department of Radiology, Xuzhou Central Hospital, 199 South Jie-fang Road, 221009, Xuzhou, China aut Li Yu Department of Radiology, Xuzhou Central Hospital, 199 South Jie-fang Road, 221009, Xuzhou, China aut Cui Yan-Feng Department of Interventional Radiology, The Affiliated Hospital of Xuzhou Medical College, 99 West Huai-hai Road, 221006, Xuzhou, China aut Wei Ning Department of Interventional Radiology, The Affiliated Hospital of Xuzhou Medical College, 99 West Huai-hai Road, 221006, Xuzhou, China aut Li De-Chun Department of Radiology, Xuzhou Central Hospital, 199 South Jie-fang Road, 221009, Xuzhou, China aut Xu Hao Department of Interventional Radiology, The Affiliated Hospital of Xuzhou Medical College, 99 West Huai-hai Road, 221006, Xuzhou, China aut Abdominal Imaging Springer US; http://www.springer-ny.com 40/8(2015-10-01), 3240-3247 0942-8925 40:8<3240 2015 40 261 https://doi.org/10.1007/s00261-015-0496-7 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00261-015-0496-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Fu Yu-Fei Department of Radiology, Xuzhou Central Hospital, 199 South Jie-fang Road, 221009, Xuzhou, China aut NATIONALLICENCE 700 1- Li Yu Department of Radiology, Xuzhou Central Hospital, 199 South Jie-fang Road, 221009, Xuzhou, China aut NATIONALLICENCE 700 1- Cui Yan-Feng Department of Interventional Radiology, The Affiliated Hospital of Xuzhou Medical College, 99 West Huai-hai Road, 221006, Xuzhou, China aut NATIONALLICENCE 700 1- Wei Ning Department of Interventional Radiology, The Affiliated Hospital of Xuzhou Medical College, 99 West Huai-hai Road, 221006, Xuzhou, China aut NATIONALLICENCE 700 1- Li De-Chun Department of Radiology, Xuzhou Central Hospital, 199 South Jie-fang Road, 221009, Xuzhou, China aut NATIONALLICENCE 700 1- Xu Hao Department of Interventional Radiology, The Affiliated Hospital of Xuzhou Medical College, 99 West Huai-hai Road, 221006, Xuzhou, China aut NATIONALLICENCE 773 0- Abdominal Imaging Springer US; http://www.springer-ny.com 40/8(2015-10-01), 3240-3247 0942-8925 40:8<3240 2015 40 261