Transjugular intrahepatic portosystemic shunt, mechanical aspiration thrombectomy, and direct thrombolysis in the treatment of acute portal and superior mesenteric vein thrombosis

被引:56
作者
Ferro, Carlo
Rossi, Umberto G.
Bovio, Giulio
Dahamane, M'Hamed
Centanaro, Monica
机构
[1] San Martino Univ Hosp, Dept Diagnost & Intervent Radiol, I-16132 Genoa, Italy
[2] San Martino Univ Hosp, Dept Intens Care, I-16132 Genoa, Italy
关键词
portal vein; thrombolysis; mechanical thrombectomy; TIPS; portal and mesenteric vein;
D O I
10.1007/s00270-007-9137-z
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A patient was admitted because of severe abdominal pain, anorexia, and intestinal bleeding. Contrast-enhanced multidetector computed tomography demonstrated acute portal and superior mesenteric vein thrombosis (PSMVT). The patient was treated percutaneously with transjugular intrahepatic portosystemic shunt (TIPS), mechanical aspiration thrombectomy, and direct thrombolysis, and 1 week after the procedure, complete patency of the portal and superior mesenteric veins was demonstrated. TIPS, mechanical aspiration thrombectomy, and direct thrombolysis together are promising endovascular techniques for the treatment of symptomatic acute PSMVT.
引用
收藏
页码:1070 / 1074
页数:5
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