TRANSJUGULAR INTRAHEPATIC PORTACAVAL-SHUNT AFTER THROMBUS DISRUPTION IN PARTIALLY THROMBOSED PORTAL VEINS

被引:25
作者
BILBAO, JI
LONGO, JM
ROUSSEAU, H
DEVILLA, V
MANSILLA, F
ALVAREZCIENFUEGOS, J
JOFFRE, F
PRIETO, J
机构
[1] CHU RANGUEIL,DEPT RADIOL,F-31054 TOULOUSE,FRANCE
[2] CLIN UNIV NAVARRA,DEPT SURG,E-31008 PAMPLONA,SPAIN
[3] CLIN UNIV NAVARRA,DEPT INTERNAL MED,E-31008 PAMPLONA,SPAIN
关键词
PORTAL VEIN; US; THROMBOSIS; HYPERTENSION; PORTAL; SHUNT; PORTACAVAL; LIVER; INTERVENTIONAL PROCEDURES;
D O I
10.1007/BF00193927
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Portal vein (PV) thrombosis increases the risk of variceal bleeding in cirrhotic patients with portal hypertension. Its presence also complicates PV access during transjugular porto-caval shunt (TIPS) placement. We overcame this obstacle by using ultrasound (US) guidance for PV entry. Clot disruption by balloon catheters was then performed before placing the vascular endoprostheses for portal-venous shunting. We treated 3 cirrhotic patients in such fashion with good clinical results. Portal thrombi progressively disappeared after shunting due to both balloon disruption and the rise in portal blood flow velocity.
引用
收藏
页码:106 / 109
页数:4
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