MesoTIPS: Combined approach for the treatment of portal hypertension secondary to portal vein thrombosis – A brief report
| Autor: | Abbas Chamsuddin, Lama Nazzal, Thomas Heffron, Osama Gaber, Raja Achou, Louis G Martin |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: | |
| Zdroj: | The Arab Journal of Interventional Radiology, Vol 1, Iss 1, Pp 20-26 (2017) |
| Druh dokumentu: | article |
| ISSN: | 2542-7075 2542-7083 |
| DOI: | 10.4103/2542-7075.199571 |
| 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: | Directory of Open Access Journals |
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