Therapeutic coil embolization of dominant shunt in hepatopulmonary syndrome enhances post-liver transplant respiratory recovery.

Autor: Sonavane AD; Department of Adult and Pediatric Hepatology, Apollo Hospitals, Navi Mumbai, India., Bagde A; Department of Adult and Pediatric Hepatology, Apollo Hospitals, Navi Mumbai, India., Raut V; Department of Liver Transplantation and HPB Surgery, Apollo Hospitals, Navi Mumbai, India., Marar S; Department of Interventional Radiology, Apollo Hospitals, Navi Mumbai, India., Sawant A; Department of Anaesthesiology, Apollo Hospitals, Navi Mumbai, India., Shah K; Department of Liver Transplantation and HPB Surgery, Apollo Hospitals, Navi Mumbai, India., Raj A; Department of Liver Transplantation and HPB Surgery, Apollo Hospitals, Navi Mumbai, India., Thorat A; Department of Liver Transplantation and HPB Surgery, Apollo Hospitals, Navi Mumbai, India., Chaksota H; Department of Anaesthesiology, Apollo Hospitals, Navi Mumbai, India., Biradar V; Department of Adult and Pediatric Hepatology, Apollo Hospitals, Navi Mumbai, India., Vasanth S; Department of Anaesthesiology, Apollo Hospitals, Navi Mumbai, India., Nagral A; Department of Adult and Pediatric Hepatology, Apollo Hospitals, Navi Mumbai, India., Mirza D; Department of Liver Transplantation and HPB Surgery, Apollo Hospitals, Navi Mumbai, India.
Jazyk: angličtina
Zdroj: Pediatric transplantation [Pediatr Transplant] 2020 Sep; Vol. 24 (6), pp. e13729. Date of Electronic Publication: 2020 May 21.
DOI: 10.1111/petr.13729
Abstrakt: Coil embolization of the atypical enlarged pulmonary artery/arteriole with visible shunting may improve hypoxemia in patients with hepatopulmonary syndrome (HPS). When used selectively in cases with large shunts, either pre- or post-liver transplantation (LT), it can aid an early recovery and reduce morbidity. We present a case where a large intrapulmonary shunt was embolized preoperatively to improve hypoxemia associated with HPS and enhance post-operative recovery.
(© 2020 Wiley Periodicals LLC.)
Databáze: MEDLINE
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