Asymptomatic Intrahepatic Portosystemic Venous Shunt: To Treat or Not To Treat?

被引:10
作者
Palvanov, Arkadiy [1 ]
Marder, Ruth Leah
Siegel, David [1 ]
机构
[1] North Shore LIJ Hlth Syst, Dept Radiol, 270-05 76th Ave, New Hyde Pk, NY 11040 USA
关键词
intrahepatic portosystemic venous shunt; encephalopathy; venous malformation; venous shunt; portal vein; ultrasound; congenital portal vein malformations; acquired portal vein malformations;
D O I
10.1055/s-0035-1564658
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
Intrahepatic portosystemic venous shunts (IPSVSs) are rare vascular malformations. They can be asymptomatic or present with various symptoms including encephalopathy. We present two cases of IPSVS, one involving a patient presenting with altered mental status and the other discovered incidentally. While there is no question that patients presenting with symptomatic IPSVS should undergo definitive treatment, there is no consensus regarding elective therapy for asymptomatic lesions.
引用
收藏
页码:193 / 198
页数:6
相关论文
共 14 条
[1]   Quality Improvement Guidelines for Percutaneous Transcatheter Embolization Society of Interventional Radiology Standards of Practice Committee [J].
Angle, John F. ;
Siddiqi, Nasir H. ;
Wallace, Michael J. ;
Kundu, Sanjoy ;
Stokes, LeAnn ;
Wojak, Joan C. ;
Cardella, John F. .
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 2010, 21 (10) :1479-1486
[2]   SYMPTOMATIC HYPERAMMONEMIA CAUSED BY A CONGENITAL PORTOSYSTEMIC SHUNT [J].
KITAGAWA, S ;
GLEASON, WA ;
NORTHRUP, H ;
MIDDLEBROOK, MR ;
UEBERSCHAR, E .
JOURNAL OF PEDIATRICS, 1992, 121 (06) :917-919
[3]  
KUDO M, 1993, AM J GASTROENTEROL, V88, P723
[4]   Congenital Intrahepatic Portosystemic Venous Shunt and Liver Mass in a Child Patient: Successful Endovascular Treatment with an Amplatzer Vascular Plug (AVP) [J].
Lee, Sae Ah ;
Lee, Young Seok ;
Lee, Kun Song ;
Jeon, Gyeong Sik .
KOREAN JOURNAL OF RADIOLOGY, 2010, 11 (05) :583-586
[5]   Intrahepatic Portosystemic Venous Shunt: Successful Embolization Using the Amplatzer Vascular Plug II [J].
Lee, Young-ju ;
Shin, Byung Seok ;
Lee, In Ho ;
Ohm, Joon Young ;
Lee, Byung-seok ;
Ahn, Moonsang ;
Kim, Ho Jun .
KOREAN JOURNAL OF RADIOLOGY, 2012, 13 (06) :827-831
[6]   THERAPEUTIC EMBOLIZATION OF INTRAHEPATIC PORTOSYSTEMIC SHUNTS BY RETROGRADE TRANSCAVAL CATHETERIZATION [J].
MAEDA, T ;
MORI, H ;
AIKAWA, H ;
KOMATSU, E ;
KAGAWA, K .
CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY, 1993, 16 (04) :245-247
[7]   INTRAHEPATIC PORTOSYSTEMIC VENOUS SHUNT - OCCURRENCE IN PATIENTS WITH AND WITHOUT LIVER-CIRRHOSIS [J].
MORI, H ;
HAYASHI, K ;
FUKUDA, T ;
MATSUNAGA, N ;
FUTAGAWA, S ;
NAGASAKI, M ;
MUTSUKURA, M .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1987, 149 (04) :711-714
[8]   INTRAHEPATIC PORTOSYSTEMIC VENOUS SHUNT [J].
PARK, JH ;
CHA, SH ;
HAN, JK ;
HAN, MC .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1990, 155 (03) :527-528
[9]  
Senocak E, 2008, DIAGN INTERV RADIOL, V14, P97
[10]  
Sodhi Kushaljit Singh, 2007, Indian J Gastroenterol, V26, P87