Direct intrahepatic cavo-portal shunts in Budd-Chiari syndrome: Role of simultaneous fluoroscopy and trans-abdominal ultrasonography.
Artículo
en Inglés
| IMSEAR
| ID: sea-65496
ABSTRACT
BACKGROUND:
Transjugular intrahepatic porto-systemic shunt (TIPS) for Budd-Chiari syndrome (BCS) can be inserted from inferior vena cava or hepatic vein to portal vein. The former is performed when hepatic veins are not suitable and is technically more challenging.METHODS:
In this retrospective study, 7 patients with chronic BCS needed cavo-portal shunt as hepatic veins were neither amenable to plasty nor provided access for TIPS placement. Simultaneous fluoroscopic and trans-abdominal ultrasound guidance was used at the time of portal vein puncture.RESULTS:
Technical success and clinical improvement were obtained in all patients. Median 3 (range 1-4) attempts were needed to puncture the portal vein. There were no significant complications. Uncovered stents were used in six patients and stent occlusion was common, but could be managed by re-intervention.CONCLUSION:
Cavo-portal shunt is an effective technique for patients with BCS uncontrolled by medical therapy. Additional trans-abdominal ultrasound in oblique parasagittal plane keeps the procedure safe.
Texto completo:
Disponible
Índice:
IMSEAR (Asia Sudoriental)
Asunto principal:
Femenino
/
Humanos
/
Masculino
/
Fluoroscopía
/
Niño
/
Estudios Retrospectivos
/
Resultado del Tratamiento
/
Adulto
/
Derivación Portosistémica Intrahepática Transyugular
/
Síndrome de Budd-Chiari
Tipo de estudio:
Guía de Práctica Clínica
/
Estudio observacional
Idioma:
Inglés
Año:
2006
Tipo del documento:
Artículo
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