{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T03:55:46Z","timestamp":1790740546897,"version":"4.1.0"},"reference-count":30,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2019,5,15]],"date-time":"2019-05-15T00:00:00Z","timestamp":1557878400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Liver International"],"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To evaluate individualized treatment strategy (ITS) and long\u2010term outcomes of endovascular treatment of Budd\u2010Chiari syndrome (BCS) with obstructed inferior vena cava (IVC) based on different degrees of hepatic vein (HV) involvement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From January 2006 to June 2017, 456 consecutive patients with BCS with obstructed IVC underwent endovascular treatment with ITS. All patients received IVC recanalization. Then, 426 patients with at least one patent HV received no additional treatment. Twenty\u2010fivepatients with membranous or segmental occlusion of HVs underwent HV recanalization and for the remaining five patients with diffuse HVs occlusion, a transjugular intrahepatic portosystemic shunt (TIPS) was performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The endovascular treatment was technically successful in 455 of the 456 patients (99.8%). The complication rate was 5.0% (23\/456), with major complications in 13 patients (2.8%) and minor complications in 10 patients (2.2%). Median follow\u2010up time was 60.5\u00a0months (range, 4\u2010120\u00a0months). The cumulative 1\u2010, 2\u2010, 5\u2010 and 10\u2010year primary vessel patency rates were 93.6%, 89.9%, 80.5% and 74.3% respectively and the cumulative 1\u2010, 2\u2010, 5\u2010, 10\u2010 year secondary patency rates were 99.8%, 99.8%, 98.2% and 97.2% respectively. The cumulative 1\u2010, 2\u2010, 5\u2010 and 10\u2010year survival rates were 98.4%, 95.8%, 91.2% and 76.5% respectively. Illness duration and decreased serum albumin were independent predictors of survival.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The ITS for Asian BCS with obstructed IVC and varying degrees of HV involvement appears to be effective and with good long\u2010term outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/liv.14114","type":"journal-article","created":{"date-parts":[[2019,4,9]],"date-time":"2019-04-09T06:14:06Z","timestamp":1554790446000},"page":"1577-1586","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Long\u2010term outcomes of individualized treatment strategy in treatment of type I Budd\u2010Chiari syndrome in 456 patients"],"prefix":"10.1111","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9595-5720","authenticated-orcid":false,"given":"Peng\u2010Xu","family":"Ding","sequence":"first","affiliation":[{"name":"Department of Intervention The First Affiliated 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