A technique for controlled partial closure of a transjugular intrahepatic portosystemic shunt tract in a patient with hepatic encephalopathy

被引:13
作者
Holden, Andrew
Ng, Richard
Gane, Ed
Hill, Andrew
McCall, John
机构
[1] Auckland City Hosp, Dept Radiol, Auckland, New Zealand
[2] Auckland City Hosp, New Zealand Liver Transplant Unit, Auckland, New Zealand
[3] Auckland City Hosp, Dept Vasc Surg, Auckland, New Zealand
关键词
D O I
10.1097/01.RVI.0000244850.39439.34
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 novel endovascular technique to reduce flow through a transjugular intrahepatic portosystemic shunt (TIPS) is described in a patient with severe hepatic encephalopathy. This technique allows controlled and potentially adjustable partial closure of the TIPS without thromboembolic risk. The patient experienced a dramatic clinical improvement after the procedure.
引用
收藏
页码:1957 / 1961
页数:5
相关论文
共 12 条
[1]   The role of transjugular intrahepatic portosystemic shunt in the management of portal hypertension [J].
Boyer, TD ;
Haskal, ZJ .
HEPATOLOGY, 2005, 41 (02) :386-400
[2]   Treatment of refractory post-transjugular portosystemic stent-shunt encephalopathy: a novel case of stent luminal reduction [J].
Clarke, G ;
Patel, R ;
Tsao, S ;
Blanshard, K .
EUROPEAN JOURNAL OF GASTROENTEROLOGY & HEPATOLOGY, 2004, 16 (12) :1387-1390
[3]   Reversal of transjugular intrahepatic portosystemic shunt (TIPS)-induced hepatic encephalopathy using a strictured self-expanding covered stent [J].
Cox, MW ;
Soltes, GD ;
Lin, PH ;
Bush, RL ;
Lumsden, AB .
CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY, 2003, 26 (06) :539-542
[4]   Transjugular intrahepatic portosystemic shunt constraining stent for the treatment of refractory postprocedural encephalopathy: A simple design utilizing a palmaz stent and wallstent [J].
Forauer, AR ;
McLean, GK .
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 1998, 9 (03) :443-446
[5]   Successful reversal of hepatic encephalopathy with intentional occlusion of transjugular intrahepatic portosystemic shunts [J].
Kerlan, RK ;
LaBerge, JM ;
Baker, EL ;
Wack, JP ;
Marx, M ;
Somberg, KA ;
Gordon, RL ;
Ring, EJ .
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 1995, 6 (06) :917-921
[6]   TIPS-related hepatic encephalopathy: Management options with novel endovascular techniques [J].
Madoff, DC ;
Wallace, MJ ;
Ahrar, K ;
Saxon, RR .
RADIOGRAPHICS, 2004, 24 (01) :21-36
[7]   Management of TIPS-related refractory hepatic encephalopathy with reduced wallgraft endoprostheses [J].
Madoff, DC ;
Perez-Young, IV ;
Wallace, MJ ;
Skolkin, MD ;
Toombs, BD .
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 2003, 14 (03) :369-374
[8]   FATAL HEMODYNAMIC CONSEQUENCES OF THERAPEUTIC CLOSURE OF A TRANSJUGULAR INTRAHEPATIC PORTOSYSTEMIC SHUNT [J].
PAZFUMAGALLI, R ;
CRAIN, MR ;
MEWISSEN, MW ;
VARMA, RR .
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 1994, 5 (06) :831-834
[9]  
POTTS JR, 1984, GASTROENTEROLOGY, V87, P208
[10]  
SANYAL AJ, 1994, HEPATOLOGY, V20, P46, DOI 10.1016/0270-9139(94)90133-3