| Transhepatic catheter-directed thrombolysis for portal vein thrombosis after partial splenic embolization in combination with balloon-occluded retrograde transvenous obliteration of splenorenal shunt. | |
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MedLine Citation:
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PMID: 16937510 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 66-year-old woman underwent partial splenic embolization (PSE) for hypersplenism with idiopathic portal hypertension (IPH). One week later, contrast-enhanced CT revealed extensive portal vein thrombosis (PVT) and dilated portosystemic shunts. The PVT was not dissolved by the intravenous administration of urokinase. The right portal vein was canulated via the percutaneous transhepatic route under ultrasonic guidance and a 4 Fr. straight catheter was advanced into the portal vein through the thrombus. Transhepatic catheter-directed thrombolysis was performed to dissolve the PVT and a splenorenal shunt was concurrently occluded to increase portal blood flow, using balloon-occluded retrograde transvenous obliteration (BRTO) technique. Subsequent contrast-enhanced CT showed good patency of the portal vein and thrombosed splenorenal shunt. Transhepatic catheter-directed thrombolysis combined with BRTO is feasible and effective for PVT with portosystemic shunts. |
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Authors:
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Motoki Nakai; Morio Sato; Shinya Sahara; Nobuyuki Kawai; Masashi Kimura; Yoshimasa Maeda; Yumiko Ibata; Katsuhiko Higashi |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: World journal of gastroenterology : WJG Volume: 12 ISSN: 1007-9327 ISO Abbreviation: World J. Gastroenterol. Publication Date: 2006 Aug |
Date Detail:
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Created Date: 2006-08-28 Completed Date: 2007-01-17 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100883448 Medline TA: World J Gastroenterol Country: China |
Other Details:
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Languages: eng Pagination: 5071-4 Citation Subset: IM |
Affiliation:
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Department of Radiology, Hidaka General Hospital, Gobo Shi, Wakayama 644-8655, Japan. nakai@hidakagh.gobo.wakayama.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Catheterization / methods* Embolization, Therapeutic / methods* Female Humans Portal Vein / pathology*, radiography* Splenorenal Shunt, Surgical* Thrombolytic Therapy / methods* Thrombosis Tomography, X-Ray Computed Treatment Outcome Venous Thrombosis / pathology* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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