Endovascular interventions for traumatic portal venous hemorrhage complicated by portal hypertension

被引：7

作者：

Sundarakumar, Dinesh Kumar ^{[1
,2
]}

Smith, Crysela Mirta ^{[1
]}

Lopera, Jorge Enrique ^{[1
]}

Kogut, Matthew ^{[2
]}

Suri, Rajeev ^{[1
]}

机构：

[1] Univ Texas Hlth Sci Ctr San Antonio, Dept Radiol, San Antonio, TX 78229 USA

[2] Univ Washington, Med Ctr, Dept Radiol, 1959 NE Pacific St,NW011 Mailing Box 357115, Seattle, WA 98195 USA

来源：

WORLD JOURNAL OF RADIOLOGY | 2013年 / 5卷 / 10期

关键词：

Trauma; Portal vein; Portal hypertension; Transjugular Intrahepatic Portasystemic Shunt; Varix;

D O I：

10.4329/wjr.v5.i10.381

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Life-threatening hemorrhage rarely occurs from the portal vein following blunt hepatic trauma. Traditionally, severe portal bleeding in this setting has been controlled by surgical techniques such as packing, ligation, and venorrhaphy. The presence of portal hypertension could potentially increase the amount of hemorrhage in the setting of blunt portal vein trauma making it more difficult to control. This case series describes the use of indirect carbon dioxide portography to identify portal hemorrhage. Furthermore, these cases illustrate attempted endovascular treatment utilizing a transjugular intrahepatic portosystemic shunt in one scenario and transmesocaval shunt coiling of a jejunal varix in the other. (c) 2013 Baishideng. All rights reserved.

引用

页码：381 / 385

页数：5

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