HEPATIC ARTERIAL INJURY AFTER TRANSJUGULAR INTRAHEPATIC PORTOSYSTEMIC SHUNT PLACEMENT - REPORT OF 2 CASES

被引：62

作者：

HASKAL, ZJ ^{[1
]}

PENTECOST, MJ ^{[1
]}

RUBIN, RA ^{[1
]}

机构：

[1] HOSP UNIV PENN, DEPT GASTROENTEROL, PHILADELPHIA, PA 19104 USA

来源：

RADIOLOGY | 1993年 / 188卷 / 01期

关键词：

HYPERTENSION; PORTAL; INTERVENTIONAL PROCEDURES; COMPLICATIONS; LIVER; INTERVENTIONAL PROCEDURE; SHUNTS; PORTOSYSTEMIC;

D O I：

10.1148/radiology.188.1.8511322

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：

Transjugular intrahepatic portosystemic shunts (TIPS) were placed in two patients for treatment of variceal hemorrhage and refractory ascites. In both patients, branches of the right hepatic artery were inadvertently punctured during portal vein localization. In one case, right hepatic artery occlusion resulted in irreversible liver failure. In the other case, intraperitoneal bleeding resulted from the arterial injury. Embolization could not be performed due to celiac axis occlusion. Four days after surgical repair, the patient died of multiorgan failure. Hepatic arterial injuries are a serious complication of TIPS creation. Aggressive efforts to recanalize occlusions and superselective embolization of extravasation are recommended.

引用

页码：85 / 88

页数：4

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