Abstract: Objective:To assess the clinical value of endovascular therapy for Budd-Chiari syndrome(BCS).Methods:Forty-five cases with BCS were analyzed retrospectively.There were 10 cases treated only with balloon dilatation angioplasty,35 cases with balloon dilatation angioplasty and placement of stent.Results:Forty-four cases were treated successfully,and the symptoms were relieved.Among the 4 cases of recurrent superior vena cava obstruction,1 case was received second stent placement,and 3 cases were treated with thrombolytic therapy,and recurrent symptoms were relieved.Conclusions:Endovascular therapy for BCS is very effective and safe.