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TIPS Placement via Combined Transjugular and Transhepatic Approach for Cavernous Portal Vein Occlusion : Targeted Approach
المؤلفون المشاركون
McWilliams, Justin Pryce
Sauk, Steven
Kee, Stephen Thomas
Jourabchi, Natanel
Lee, Edward Wolfgang
المصدر
العدد
المجلد 2013، العدد 2013 (31 ديسمبر/كانون الأول 2013)، ص ص. 1-5، 5ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2013-01-21
دولة النشر
مصر
عدد الصفحات
5
التخصصات الرئيسية
الملخص EN
Purpose.
We report a novel technique which aided recanalization of an occluded portal vein for transjugular intrahepatic portosystemic shunt (TIPS) creation in a patient with symptomatic portal vein thrombosis with cavernous transformation.
Some have previously considered cavernous transformation a contraindication to TIPS.
Case Presentation.
62-year-old man with chronic pancreatitis, portal vein thrombosis, portal hypertension and recurrent variceal bleeding presents with melena and hematemesis.
The patient was severely anemic, hemodynamically unstable, and required emergent portal decompression.
Attempts to recanalize the main portal vein using traditional transjugular access were unsuccessful.
After percutaneous transhepatic right portal vein access and navigation of a wire through the occluded main portal vein, an angioplasty balloon was inflated at the desired site of shunt takeoff.
The balloon was targeted and punctured from the transjugular approach, and a wire was passed into the portal system.
TIPS placement then proceeded routinely.
Conclusion.
Although occlusion of the portal vein increases difficulty of performing TIPS, it should not be considered an absolute contraindication.
We have described a method for recanalizing an occluded portal vein using a combined transhepatic and transjugular approach for TIPS.
This approach may be useful to relieve portal hypertension in patients who fail endoscopic and/or surgical therapies.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Jourabchi, Natanel& McWilliams, Justin Pryce& Lee, Edward Wolfgang& Sauk, Steven& Kee, Stephen Thomas. 2013. TIPS Placement via Combined Transjugular and Transhepatic Approach for Cavernous Portal Vein Occlusion : Targeted Approach. Case Reports in Radiology،Vol. 2013, no. 2013, pp.1-5.
https://search.emarefa.net/detail/BIM-486957
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Jourabchi, Natanel…[et al.]. TIPS Placement via Combined Transjugular and Transhepatic Approach for Cavernous Portal Vein Occlusion : Targeted Approach. Case Reports in Radiology No. 2013 (2013), pp.1-5.
https://search.emarefa.net/detail/BIM-486957
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Jourabchi, Natanel& McWilliams, Justin Pryce& Lee, Edward Wolfgang& Sauk, Steven& Kee, Stephen Thomas. TIPS Placement via Combined Transjugular and Transhepatic Approach for Cavernous Portal Vein Occlusion : Targeted Approach. Case Reports in Radiology. 2013. Vol. 2013, no. 2013, pp.1-5.
https://search.emarefa.net/detail/BIM-486957
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-486957
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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