| Direct intrahepatic cavo-portal shunts in Budd-Chiari syndrome: Role of simultaneous fluoroscopy and trans-abdominal ultrasonography. | |
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MedLine Citation:
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PMID: 17090843 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Shyamkumar N Keshava; Gopi Krishna Kota; Thomas Mammen; R Jeyamani; Vinu Moses; Shalini Govil; George Kurian; George Chandy |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology Volume: 25 ISSN: 0254-8860 ISO Abbreviation: Indian J Gastroenterol Publication Date: 2006 Sep-Oct |
Date Detail:
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Created Date: 2006-11-08 Completed Date: 2006-12-21 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8409436 Medline TA: Indian J Gastroenterol Country: India |
Other Details:
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Languages: eng Pagination: 248-50 Citation Subset: IM |
Affiliation:
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Department of Radiology, Christian Medical College and Hospital, Vellore 632 004, India. aparna_shyam@yahoo.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Budd-Chiari Syndrome / diagnosis*, radiography, surgery*, ultrasonography Child Female Fluoroscopy Hepatic Veins / radiography, ultrasonography Humans Male Middle Aged Portasystemic Shunt, Transjugular Intrahepatic / methods* Retrospective Studies Treatment Outcome |
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