Transjugular Intrahepatic Portosystemic Shunt, Mechanical Aspiration Thrombectomy, and Direct Thrombolysis in the Treatment of Acute Portal and Superior Mesenteric Vein Thrombosis

被引:0
作者
Carlo Ferro
Umberto G. Rossi
Giulio Bovio
M’Hamed Dahamane
Monica Centanaro
机构
[1] San Martino University Hospital,Department of Diagnostic and Interventional Radiology
[2] San Martino University Hospital,Department Intensive Care
来源
CardioVascular and Interventional Radiology | 2007年 / 30卷
关键词
Portal vein; Thrombolysis; Mechanical thrombectomy; TIPS; Portal and mesenteric vein;
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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.
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页码:1070 / 1074
页数:4
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  • [1] Cohen J(1992)Portal vein thrombosis: a review Am J Med 92 173-182
  • [2] Edelman RR(1993)Acute thrombosis of the splanchnic veins Arch Surg 128 341-345
  • [3] Chopra S(2005)Portal vein thrombosis Hepatobil Pancreat Dis Int 4 515-518
  • [4] Gertsch P(2006)Percutaneous transhepatic thrombolysis in the treatment of acute portal venous thrombosis Diagn Interv Radiol 12 105-107
  • [5] Matthews J(2005)Portal vein thrombosis: What is the role of genetics? Eur J Gastroenterol Hepatol 17 705-707
  • [6] Lerut J(2003)Intestinal ischemia Gastroenterol Clin North Am 32 1127-1143
  • [7] Luder P(2000)Use of transjugular intrahepatic portosystemic shunts during lytic therapy of extensive portal splenic and mesenteric venous thrombosis: long-term follow-up J Vasc Interv Radiol 11 61-5
  • [8] Blumgart LH(1999)Mesenteric and portal vein thrombosis in a young patient with protein S deficiency treated with urokinase via the superior mesenteric artery J Vasc Surg 30 551-554
  • [9] Wang JT(2005)Transcatheter thrombolytic therapy for acute mesenteric and portal vein thrombosis J Vasc Interv Radiol 16 651-661
  • [10] Zhao HY(2002)Percutaneous transhepatic treatment of symptomatic mesenteric venous thrombosis J Vasc Surg 36 1058-1061