PERCUTANEOUS TRANSHEPATIC ANGIOPLASTY AND STENT IMPLANTATION FOR PREHEPATIC PORTAL-VEIN OBSTRUCTION

被引：41

作者：

MATHIAS, K

BOLDER, U

LOHLEIN, D

JAGER, H

机构：

[1] Institut für Strahlendiagnostik, Klinikum Dortmund, Dortmund, D-4600

[2] Chirurgische Klinik, Städtischen Klinikum Dortmund, Dortmund, D-4600

来源：

CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY | 1993年 / 16卷 / 05期

关键词：

PANCREATIC CARCINOMA; PERCUTANEOUS TRANSHEPATIC ANGIOPLASTY; PORTAL VEIN STENOSIS; STENT IMPLANTATION;

D O I：

10.1007/BF02629164

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Twenty-nine months after a Whipple procedure for pancreatic carcinoma, a 47-year-old woman developed esophageal variceal bleeding. Percutaneous transhepatic portography revealed a severe stenosis of the portal vein with prehepatic portal hypertension and collateral circulation mainly to the gastric and esophageal veins. Percutaneous transhepatic balloon angioplasty was used to dilate the stenoses, but it did not remove the stenosis sufficiently. Therefore, an 8-mm, self-expandable stent was implanted, creating a nearly normal lumen without a pressure gradient. Portal hypertension was relieved, and the patient had no recurrent variceal bleeding for the 5 months up to her death.

引用

页码：313 / 315

页数：3

共 10 条

[1]

Kadir S., Diagnostic angiography, pp. 377-444, (1986)

[2]

Mori H., Miyake H., Aikawa H., Monzen Y., Maeda T., Suzuki K., Matsumoto S., Wakisaka M., Dilated posterior superior pancreaticoduodenal vein: Recognition with CT and clinical significance in patients with pancreaticobiliary carcinomas, Radiology, 181, pp. 793-800, (1991)

[3]

Richter G.M., Noldge G., Palmaz J.C., Rossle M., Slegerstetter V., Franke M., Gerok W., Wenz W., Farthmann E., Transjugular intrahepatic portocaval stent shunt: Preliminary clinical results, Radiology, 174, pp. 1027-1028, (1990)

[4]

Schulte S.J., Baron R.L., Freeny P.C., Patten R.M., Gorell H.A., Maclin M.L., Root of the superior mesenteric artery in pancreatitis and pancreatic carcinoma: Evaluation with CT, Radiology, 180, pp. 659-662, (1991)

[5]

Coombs R.J., Zeiss J., Howard J.M., Thomford N.R., Merrick H.W., CT of the abdomen after the Whipple procedure: Value in depicting postoperative anatomy, surgical complications, and tumor recurrence, AJR, 154, pp. 1011-1014, (1990)

[6]

Raby N., Karani J., Thomas S., O'Grady J., Willia R., Stenoses of vascular anastomoses after hepatic transplantation: Treatment with balloon angioplasty, AJR, 157, pp. 167-171, (1991)

[7]

Rollons N.K., Sheffield E.G., Andrews W.S., Portal vein stenosis complicating liver transplantation in children: Percutaneous transhepatic angioplasty, Radiology, 182, pp. 731-734, (1992)

[8]

Burcharth F., Percutaneous transhepatic portography: 1. Technique and applications, AJR, 132, pp. 177-182, (1979)

[9]

Cope C., Balloon dilatation of closed mesocaval shunts, AJR, 135, pp. 989-993, (1980)

[10]

Ruff R.J., Chuang V.P., Alspaugh J.P., Casarella W.J., Tuten T.U., Gaylord G.M., Percutaneous vascular intervention after surgical shunting for portal hypertension, Radiology, 164, pp. 469-474, (1987)

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