Portal Venous Interventions: State of the Art

被引:42
作者
Madoff, David C. [1 ]
Gaba, Ron C. [2 ]
Weber, Charles N. [3 ]
Clark, Timothy W. I. [3 ]
Saad, Wael E. [4 ]
机构
[1] New York Presbyterian Hosp, Weill Cornell Med Ctr, Dept Radiol, Div Intervent Radiol, 525 E 68th St,P-518, New York, NY 10065 USA
[2] Univ Illinois Hosp, Dept Radiol, Intervent Radiol Sect, Chicago, IL USA
[3] Univ Penn, Sch Med, Penn Presbyterian Med Ctr, Dept Radiol, Philadelphia, PA 19104 USA
[4] Univ Michigan, Med Ctr, Dept Radiol, Div Vasc & Intervent Radiol, Ann Arbor, MI 48109 USA
关键词
INTRAHEPATIC PORTOSYSTEMIC SHUNT; RETROGRADE TRANSVENOUS OBLITERATION; COLORECTAL LIVER METASTASES; CLINICAL ISLET TRANSPLANTATION; TYPE-1; DIABETES-MELLITUS; COVERED STENT-GRAFTS; BUDD-CHIARI-SYNDROME; STEROID-FREE IMMUNOSUPPRESSION; PARACENTESIS PLUS ALBUMIN; 5-YEAR FOLLOW-UP;
D O I
10.1148/radiol.2015141858
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 recent decades, there have been numerous advances in the management of liver cancer, cirrhosis, and diabetes mellitus. Although these diseases are wide ranging in their clinical manifestations, each can potentially be treated by exploiting the blood flow dynamics within the portal venous system, and in some cases, adding cellular therapies. To aid in the management of these disease states, minimally invasive transcatheter portal venous interventions have been developed to improve the safety of major hepatic resection, to reduce the untoward effects of sequelae from end-stage liver disease, and to minimize the requirement of exogenously administered insulin for patients with diabetes mellitus. This state of the art review therefore provides an overview of the most recent data and strategies for utilization of preoperative portal vein embolization, transjugular intrahepatic portosystemic shunt placement, balloon retrograde transvenous obliteration, and islet cell transplantation. (C) RSNA, 2016
引用
收藏
页码:333 / 353
页数:21
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