Abnormality of hepatic veins in the patients with Budd-Chiari syndrome

Objective The aim of this paper was to recognize the angioplany in the patients with Budd- Chiari syndrome, adjuge accurately the station of hepatic veins requrgitation and furnish the evidence for clinical treatment choices.Method The phlebography of the inferior vena cava through femoral vein and cubital vein,and the percutaneous transhepatic vein phlebography (PTVP) have been done.Results Thirty seven cases of Budd-Chiari syndrome were examined by phlebography of the inferior vena cava. Among of them, hepatic vein are unobstructed in 18 patients and undevelopment or underdevelopment in 17 cases.The stanosis and oblitenation of hepatic veins aer are 6 patients through percutaneous transhepatic hepato-phlebography. The right hepatic veins in 20 cases and left hepatic veins in one cases were showed, but none middle hepatic vein were displayed among three main bronches of the hepatic vein. Meanswhile, most of caese showed compensatory dilation of the parahepatic veins. Conclusion Simple phlebography of inferior vena cavs (including end-to-end) can only definie the unebstruction hepatic veins states in partly patients. But every hepatic veins can be observed completely through add the PTVP. All kinds of the phlebography methods are easy to show the right hepatic veins and the parahepatic veins. Developing of the left and middle hepatic veins are not easy on account for their higher location and the effects of the lesion of inferior vena cava possibly.