Inferior vena cava dilatation and stent implantation combined with splenorenal shunt to treat Budd-Chiari syndrome

Objective: To evaluate the effect of inferior vena cava (IVC) balloon dilatation and stent implantation combined with splenorenal shunt in treatment of Budd-Chiari syndrome(BCS).Methods: Fourteen cases with IVC localized lesions and hepatic vein occlusion type of BCS underwent IVC balloon dilatation and stent implantation combined with splenorenal shunt.Two cases with minor IVC stenosis only underwent percutaneous transluminal venoplasty,and then received splenorenal shunt.Results: No operation death or hepatic encephalopathy occurred.Two cases developed hepatic failure postoperatively.The IVC pressure declined from 16-23 cmH₂O to 9-14 cmH₂O,and the portal venous pressure declined from 28-43 cmH₂O to 20-28 cmH₂O.Twelve cases were followed up for 12 to 38 months.No abdominal distention,ascites or pitting edema in lower extremities appeared.Conclusions: IVC balloon dilatation and stent implantation combined with splenorenal shunt is the better procedure for some pathological types of BCS.It causes minor injury and has definitive effect.