Interventional Management of Portal Hypertension in Cancer Patients

被引:0
作者
Kabolowsky, Max [1 ]
Nguyen, Lyndsey [2 ]
Fortune, Brett E. [3 ]
Santos, Ernesto [4 ]
Kishore, Sirish [5 ]
Camacho, Juan C. [2 ]
机构
[1] Philadelphia Coll Osteopath Med, Dept Radiol Sci, Moultrie, GA USA
[2] Florida State Univ, Coll Med, Dept Clin Sci, Tallahassee, FL 34239 USA
[3] Weill Cornell Med Coll, Dept Med, Div Gastroenterol & Hepatol, New York, NY USA
[4] Mem Sloan Kettering Canc Ctr, Intervent Radiol Serv, 1275 York Ave, New York, NY 10021 USA
[5] Stanford Univ, Dept Radiol, Intervent Radiol, Palo Alto, CA 94304 USA
关键词
Portal hypertension; Cancer; Interventional radiology; Ascites; Variceal bleeding; Non-cirrhotic portal hypertension; INTRAHEPATIC PORTOSYSTEMIC SHUNT; RETROGRADE TRANSVENOUS OBLITERATION; SPLANCHNIC VEIN-THROMBOSIS; INDUCED LIVER-DISEASE; HEPATOCELLULAR-CARCINOMA; GASTRIC VARICES; CLINICAL-SIGNIFICANCE; NATURAL-HISTORY; CIRRHOSIS; OBSTRUCTION;
D O I
10.1007/s11912-022-01319-8
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Purpose of Review To provide an overview of the classifications and clinical hallmarks of common cancer-related conditions that contribute to the high incidence of portal hypertension in this population and provide an update on currently available interventional radiology therapeutic approaches. Recent Findings In the last few decades, there have been significant advancements in understanding the pathophysiology of portal hypertension. This knowledge has led to the development of safer and more effective minimally invasive approaches. The main objective is to provide alternatives to prevent life-threatening complications from clinically significant portal hypertension and to allow the continuation of cancer treatment interventions that would otherwise be stopped. Clinicians involved in cancer care should be aware of risk factors, associated complications, and management of portal hypertension in cancer patients. Interventional radiology offers minimally invasive alternatives that play a central role in improving clinical outcomes and survival of these patients, allowing the continuation of cancer treatments.
引用
收藏
页码:1461 / 1475
页数:15
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