Transsplenic Endovascular Therapy of Portal Vein Stenosis and Subsequent Complete Portal Vein Thrombosis in a 2-year-old Child

被引：28

作者：

Bertram, Harald ^{[1
]}

Pfister, Eva-Doreen ^{[2
]}

Becker, Thomas ^{[3
]}

Schoof, Stephan ^{[1
]}

机构：

[1] Hannover Med Sch, Dept Pediat Cardiol & Pediat Intens Care, D-30623 Hannover, Germany

[2] Hannover Med Sch, Dept Pediat Gastroenterol & Hepatol, D-30623 Hannover, Germany

[3] Hannover Med Sch, Dept Visceral & Transplantat Surg, D-30623 Hannover, Germany

来源：

JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY | 2010年 / 21卷 / 11期

关键词：

PEDIATRIC LIVER-TRANSPLANTATION; STENT PLACEMENT; VARICES; COMPLICATIONS; THROMBOLYSIS; EMBOLIZATION; ESOPHAGEAL; MANAGEMENT; OCCLUSION;

D O I：

10.1016/j.jvir.2010.06.025

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：

A complex catheter intervention for portal vein stenosis and subsequent complete thrombosis after split-liver transplantation was performed using transsplenic access to the portal vein circulation The combination of intrahepatic, local thrombolysis and extrahepatic portal vein angioplasty performed twice on 2 consecutive days followed by anticoagulation with a high dose of heparin and clopidogrel completely resolved portal vein stenosis and thrombosis Postinterventional angiographic and serial ultrasound examinations confirmed that the endovascular therapy was successful In selected patients, percutaneous transsplenic access to the portal vein circulation may be used for diagnostic and therapeutic interventions even in early childhood

引用

页码：1760 / 1764

页数：5

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