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Long-Term Outcomes of Endoluminal Sharp Recanalization of Occluded Inferior Vena Cava in Budd-Chiari Syndrome
- Source :
- Journal of laparoendoscopicadvanced surgical techniques. Part A. 29(3)
- Publication Year :
- 2018
-
Abstract
- To report the long-term results of endoluminal sharp recanalization of occluded inferior vena cava (IVC) in patients with the Budd-Chiari syndrome (BCS).Seventy-two consecutive patients with BCS and IVC occlusion underwent endoluminal recanalization of the IVC occlusion during a 6-year period. BCS with occlusive IVC was detected by reviewing patient history and color Doppler ultrasonography. Data on technical success, morbidity, mortality, complications, and color Doppler sonographic outcome were collected and analyzed.Seventy-seven recanalizations were performed in 72 patients. Technical success (patent IVC with good blood flow) was achieved in 70 (97.4%) patients. No perioperative death was observed. Six complications were found during recanalization, and 10 complications were found for total interventional procedures. The complication rates were 7.8% and 7.3% for recanalization and total procedure, respectively. Bleeding of access veins was the most common complication, and 2 patients showed slight rupture of IVC. The postoperative IVC diameter and blood speed of IVC increased significantly. Fifty-seven patients (79.2%) were clinical cured, and 2 patients (2.8%) showed no improvement. The 1-year, 3-year, and 5-year primary patency rates were 92.5%, 86.8%, and 77.3%, respectively. The second patency rates were 100.0%, 97.8%, and 91.8% for 1, 3, and 5 years, respectively. There were 2 deaths during follow-up.Endoluminal sharp recanalization of occluded IVC in patients with BCS is safe and effective with good long-term outcomes.
- Subjects :
- Adult
Male
medicine.medical_specialty
Time Factors
Blood Loss, Surgical
Vena Cava, Inferior
Budd-Chiari Syndrome
Balloon
Inferior vena cava
03 medical and health sciences
Young Adult
0302 clinical medicine
Long term outcomes
Medicine
Humans
In patient
cardiovascular diseases
Ultrasonography, Doppler, Color
Vascular Patency
Aged
Retrospective Studies
business.industry
Endovascular Procedures
Middle Aged
medicine.disease
Thrombosis
Surgery
Treatment Outcome
medicine.vein
030220 oncology & carcinogenesis
cardiovascular system
Budd–Chiari syndrome
030211 gastroenterology & hepatology
Female
business
Subjects
Details
- ISSN :
- 15579034
- Volume :
- 29
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Journal of laparoendoscopicadvanced surgical techniques. Part A
- Accession number :
- edsair.doi.dedup.....4c19ec3645d191436399b924edae179f