INTENTIONAL REVERSIBLE THROMBOSIS OF TRANSJUGULAR INTRAHEPATIC PORTOSYSTEMIC SHUNTS

被引:38
作者
HASKAL, ZJ
COPE, C
SOULEN, MC
SHLANSKYGOLDBERG, RD
BAUM, RA
REDD, DCB
机构
[1] Department of Radiology, Univ. of Pennsylvania Medical Center, Philadelphia, PA 19104
关键词
BRAIN; DISEASES; HYPERTENSION; PORTAL; LIVER; INTERVENTIONAL PROCEDURE; SHUNTS; PORTOSYSTEMIC;
D O I
10.1148/radiology.195.2.7724771
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
PURPOSE: To assess whether balloon occlusion of a transjugular intrahepatic portosystemic shunt (TIPS) will allow permanent yet reversible shunt thrombosis. MATERIALS AND METHODS: A balloon catheter was inflated in the midportion of the TIPS in two women with severe, uncontrollable encephalopathy or liver failure (aged 42 and 65 years, respectively) to allow occlusive thrombus to develop below the balloon. RESULTS: Balloon occlusion led to rapid TIPS thrombosis, which was readily reversible. CONCLUSION: Balloon thrombosis is a simple technique for complete occlusion of a TIPS. This technique may also be useful for occlusion of surgical mesocaval H-graft shunts or dialysis access shunts.
引用
收藏
页码:485 / 488
页数:4
相关论文
共 13 条
[1]  
FREEDMAN AM, 1993, RADIOGRAPHICS, V13, P185
[2]   TRANSJUGULAR INTRAHEPATIC PORTOSYSTEMIC SHUNT STENOSIS AND REVISION - EARLY AND MIDTERM RESULTS [J].
HASKAL, ZJ ;
PENTECOST, MJ ;
SOULEN, MC ;
SHLANSKYGOLDBERG, RD ;
BAUM, RA ;
COPE, C .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1994, 163 (02) :439-444
[3]   CREATION OF A STENOTIC STENT TO REDUCE FLOW-THROUGH A TRANSJUGULAR INTRAHEPATIC PORTOSYSTEMIC SHUNT [J].
HASKAL, ZJ ;
MIDDLEBROOK, MR .
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 1994, 5 (06) :827-829
[4]  
HASKAL ZJ, 1994, RADIOLOGY P, V193, P130
[5]  
Henderson J M, 1993, Adv Surg, V26, P233
[6]   PARTIAL PORTAL DECOMPRESSION FOR VARICEAL HEMORRHAGE [J].
JOHANSEN, K .
AMERICAN JOURNAL OF SURGERY, 1989, 157 (05) :479-482
[7]   CREATION OF TRANSJUGULAR INTRAHEPATIC PORTOSYSTEMIC SHUNTS WITH THE WALLSTENT ENDOPROSTHESIS - RESULTS IN 100 PATIENTS [J].
LABERGE, JM ;
RING, EJ ;
GORDON, RL ;
LAKE, JR ;
DOHERTY, MM ;
SOMBERG, KA ;
ROBERTS, JP ;
ASCHER, NL .
RADIOLOGY, 1993, 187 (02) :413-420
[8]   IS PORTAL-SYSTEMIC SHUNT WORTHWHILE IN CHILDS CLASS-C CIRRHOSIS - LONG-TERM RESULTS OF EMERGENCY SHUNT IN 94 PATIENTS WITH BLEEDING VARICES [J].
ORLOFF, MJ ;
ORLOFF, MS ;
RAMBOTTI, M ;
GIRARD, B ;
MCDERMOTT, WV ;
LANGER, B ;
TUROCOTTE, JG ;
LEVINE, BA ;
SARFEH, IJ .
ANNALS OF SURGERY, 1992, 216 (03) :256-268
[9]   LONG-TERM RESULTS OF EMERGENCY PORTACAVAL-SHUNT FOR BLEEDING ESOPHAGEAL-VARICES IN UNSELECTED PATIENTS WITH ALCOHOLIC CIRRHOSIS [J].
ORLOFF, MJ ;
BELL, RH ;
HYDE, PV ;
SKIVOLOCKI, WP .
ANNALS OF SURGERY, 1980, 192 (03) :325-340
[10]   FATAL HEMODYNAMIC CONSEQUENCES OF THERAPEUTIC CLOSURE OF A TRANSJUGULAR INTRAHEPATIC PORTOSYSTEMIC SHUNT [J].
PAZFUMAGALLI, R ;
CRAIN, MR ;
MEWISSEN, MW ;
VARMA, RR .
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 1994, 5 (06) :831-834