Yang Fang, Huang Ping-Chao, Yan Lei-Lei, Zhang Ze-Dong, Fu Yu-Fei, Xia Feng-Fei
Department of Infectious and Liver Disease, Affiliated Hospital of Binzhou Medical College.
Department of Interventional Vascular Surgery, Binzhou People's Hospital, Binzhou.
Surg Laparosc Endosc Percutan Tech. 2019 Aug;29(4):304-307. doi: 10.1097/SLE.0000000000000624.
To assess the safety and clinical effectiveness of catheter aspiration with recanalization in patients with Budd-Chiari syndrome (BCS) and inferior vena cava (IVC) thrombosis.
Between January 2010 and December 2017, 33 patients with BCS and IVC thrombosis were treated by catheter aspiration with IVC recanalization in our center. A 12 F angled-tip guiding catheter was used for the aspiration of thrombi in the IVC. Recanalization was conducted following thrombi aspiration. Rates of technical success, clinical success and long-term patency were calculated.
Catheter aspiration with IVC recanalization was technically successful in all patients. After aspiration, no thrombi were detectable by IVC venography in 21 patients, while residual mural thrombi were found in 12 patients. IVC balloon dilation was performed in 18 patients, while stent insertion was performed in 15 patients. We also achieved clinical success in all patients. Symptomatic and asymptomatic pulmonary embolism were found in 1 patient each, respectively. The cumulative 1-, 3-, and 5-year patency rates were 93.6%, 93.6%, and 83.2%, respectively. All patients remained alive during the follow-up.
Catheter aspiration with recanalization is a safe and efficacious approach to treating patients with BCS and IVC thrombosis.
评估导管抽吸联合再通术治疗布加综合征（BCS）合并下腔静脉（IVC）血栓形成患者的安全性和临床疗效。
2010年1月至2017年12月，本中心采用导管抽吸联合IVC再通术治疗33例BCS合并IVC血栓形成的患者。使用12F角端引导导管抽吸IVC内的血栓。血栓抽吸后进行再通。计算技术成功率、临床成功率和长期通畅率。
所有患者导管抽吸联合IVC再通术技术成功。抽吸后，21例患者IVC静脉造影未发现血栓，12例患者发现残留壁血栓。18例患者进行了IVC球囊扩张，15例患者进行了支架置入。所有患者均取得临床成功。分别有1例患者出现有症状和无症状肺栓塞。1年、3年和5年累积通畅率分别为93.6%、93.6%和83.2%。随访期间所有患者均存活。
导管抽吸联合再通术是治疗BCS合并IVC血栓形成患者的一种安全有效的方法。
