Placement of transjugular intrahepatic portosystemic shunt via the left hepatic vein under sonographic guidance in a patient with right hemihepatectomy

被引:9
|
作者
Hidajat, N
Kreuschner, M
Röttgen, R
Schröder, RJ
Schmidt, S
Felix, R
机构
[1] Hosp Peine, Cent Dept Radiol, DE-31226 Peine, Germany
[2] Humboldt Univ, Virchow Clin, Charite, Dept Radiol, Berlin, Germany
[3] Humboldt Univ, Virchow Clin, Charite, Dept Gen & Transplantat Surg, Berlin, Germany
关键词
TIPS; left shunt; hemihepatectomy;
D O I
10.1034/j.1600-0455.2003.00097.x
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
In a patient with refractory ascites after right hemihepatectomy TIPS was created between the left hepatic vein and the left portal vein via a transjugular approach. The puncture was guided only by sonography from the epigastrium. Portosystemic pressure gradient was reduced from 28 to 7 mm Hg and ascites disappeared. This case shows that TIPS can be created with technical and clinical success after right hemihepatectomy as left hepatic vein to left portal vein shunt under sonographic guidance.
引用
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页码:363 / 365
页数:3
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