TRANSJUGULAR INTRAHEPATIC PORTOSYSTEMIC SHUNT IN PORTAL-VEIN THROMBOSIS - ROLE OF THE RIGHT GASTRIC VEIN WITH ANOMALOUS INSERTION

被引：16

作者：

BEZZI, M ^{[1
]}

BROGLIA, L ^{[1
]}

LEMOS, AA ^{[1
]}

ROSSI, P ^{[1
]}

机构：

[1] UNIV ROMA LA SAPIENZA,POLICLIN UMBERTO 1,DEPT RADIOL,CATTEDRA 3,I-00161 ROME,ITALY

来源：

CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY | 1995年 / 18卷 / 02期

关键词：

TRANSJUGULAR INTRAHEPATIC PORTOSYSTEMIC SHUNT; PORTAL VEIN THROMBOSIS; RIGHT GASTRIC VEIN;

D O I：

10.1007/BF02807231

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Transjugular intrahepatic portosystemic shunt (TIPS) was performed in two patients with portal vein thrombosis. In both patients, hepatopetal flow had been maintained by an anomalous insertion of the right gastric vein (RGV) into the portal vein bifurcation and into the left portal branch respectively. In one patient, the main portal trunk could not be recanalized and the RGV was used as an accessory portal vein to place one stent for TIPS. In the other case, access through the partial portal-vein occlusion was gained and three stents were placed from the hepatic vein to the main portal vein distal to the thrombus. In portal vein thrombosis, the aberrant insertion of the RGV into the left or right portal branches may maintain patency of the intrahepatic portal system and, in case of unsuccessful recanalization of the porta, may represent the sole pathway for placing a TIPS.

引用

页码：102 / 105

页数：4

共 5 条

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[5]

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