Recurrent urinary conduit bleeding in a patient with portal hypertension: management with a transjugular intrahepatic portosystemic shunt
| Autor: | Frank C. Taylor, Gregory Zimmerman, H. Roger Hadley, Douglas C. Smith |
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| Rok vydání: | 1994 |
| Předmět: |
Male
medicine.medical_specialty Colon Urology Portal venous pressure medicine.medical_treatment Urinary Diversion Varicose Veins Ileum Hypertension Portal medicine Humans Portasystemic Shunt Surgical Aged medicine.diagnostic_test business.industry Stent Interventional radiology medicine.disease Surgery Shunt (medical) Catheter Portal hypertension Radiology Portosystemic shunt business Gastrointestinal Hemorrhage Transjugular intrahepatic portosystemic shunt |
| Zdroj: | Urology. 43(5) |
| ISSN: | 0090-4295 |
| Popis: | Objective . To determine if a transjugular intrahepatic portosystemic shunt can control recurrent urinary conduit bleeding in a patient with portal hypertension. Methods . Following transjugular catheterization of the right hepatic vein, a long curve Colapinto needle was advanced through the liver parenchyma into the portal vein near its bifurcation. After a guide wire exchange, a catheter was advanced into the portal system and venogram was obtained. Following another guide wire exchange, a balloon angioplasty catheter was used to create the shunt by dilating the parenchymal tract between the hepatic and portal veins. A self-expandable stent was used to ensure patency of the shunt. Results . After shunt placement, bleeding from the ileal conduit and stoma decreased significantly. A duplex ultrasound at five-month follow-up demonstrated the shunt to be completely patent. Conclusions . Based on this limited experience, it appears that the transjugular, intrahepatic, portosystemic shunt is an acceptable method to control massive, recurrent urinary conduit bleeding in patients with portal hypertension. |
| Databáze: | OpenAIRE |
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