Portal Venous Interventions: How to Recognize, Avoid, or Get Out of Trouble in Transjugular Intrahepatic Portosystemic Shunt (TIPS), Balloon Occlusion Sclerosis (ie, BRTO), and Portal Vein Embolization (PVE)
Autor: | Sarah N Khan, Anil K. Pillai, Stephen T. Kee, Trevor M. Downing, Rodrick C. Zvavanjanja, Zagum Bhatti |
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Rok vydání: | 2018 |
Předmět: |
medicine.medical_specialty
medicine.medical_treatment Iatrogenic Disease Portal venous system Psychological intervention Radiography Interventional 030218 nuclear medicine & medical imaging 03 medical and health sciences Postoperative Complications 0302 clinical medicine Sclerotherapy medicine Humans Radiology Nuclear Medicine and imaging Medical Errors medicine.diagnostic_test Portal Vein Critically ill business.industry Interventional radiology Balloon Occlusion Embolization Therapeutic Surgery Balloon occlusion Portal vein embolization 030211 gastroenterology & hepatology Portasystemic Shunt Transjugular Intrahepatic Cardiology and Cardiovascular Medicine business Transjugular intrahepatic portosystemic shunt |
Zdroj: | Techniques in Vascular and Interventional Radiology. 21:267-287 |
ISSN: | 1089-2516 |
DOI: | 10.1053/j.tvir.2018.07.009 |
Popis: | Portal venous interventions comprise a large portion of many Interventional Radiology practices today, and remain some of the more technically challenging cases in one's repertoire of procedures. The patients upon whom these procedures are performed are often critically ill, have decompensated disease, or are burdened with comorbid conditions such that they are poor surgical candidates. This leaves them with few options outside the care of Interventional Radiology. Some portal venous interventions, such as transjugular intrahepatic portosystemic shunt, have an established history of excellent clinical success with numerous technical advancements over the years helping to improve outcomes. Others, like balloon occlusion sclerotherapy or portal venous recanalization, are less well established but are nonetheless invaluable in the treatment of portal venous diseases. The goal of this article is to help dispel some of the anxiety experienced by individuals performing the three main procedures of the portal venous system, namely transjugular intrahepatic portosystemic shunt, balloon-occlusion retrograde transvenous obliteration, and portal vein embolization. |
Databáze: | OpenAIRE |
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