MesoTIPS: Combined approach for the treatment of portal hypertension secondary to portal vein thrombosis – A brief report
| Autor: | Osama Gaber, Abbas Chamsuddin, Lama Nazzal, Raja Achou, Thomas Heffron, Louis G. Martin |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Portal venous pressure R895-920 portal hypertension Thrombolysis medicine.disease meso-transjugular intrahepatic portosystemic shunt Mesenteric Vein Portal vein thrombosis Medical physics. Medical radiology. Nuclear medicine Angioplasty transjugular intrahepatic portosystemic shunt medicine Portal hypertension Radiology portal vein thrombosis Portosystemic shunt business Transjugular intrahepatic portosystemic shunt |
| Zdroj: | The Arab Journal of Interventional Radiology, Vol 01, Iss 01, Pp 20-26 (2017) The Arab Journal of Interventional Radiology, Vol 1, Iss 1, Pp 20-26 (2017) |
| ISSN: | 2542-7075 |
| Popis: | Introduction: We describe a technique we call “Meso-transjugular intrahepatic portosystemic shunt (MTIPS)” for relief of portal hypertension secondary to portal vein thrombosis (PVT) using combined surgical and endovascular technique. Materials and Methods: Nine adult patients with PVT underwent transjugular intrahepatic portosystemic shunt through a combined transjugular and mesenteric approach (MTIPS), in which a peripheral mesenteric vein was exposed through a minilaparotomy approach. The right hepatic vein was accessed through a transjugular approach. Mechanical thrombectomy, thrombolysis, and angioplasty were performed when feasible to clear PVT. Results: All patients had technically successful procedures. Patients were followed up for a mean time of 13.3 months (range: 8 days to 3 years). All patients are still alive and asymptomatic. Conclusion: We conclude that MTIPS is effective for the relief of portal hypertension secondary to PVT. |
| Databáze: | OpenAIRE |
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