Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
4242382 | Journal of Vascular and Interventional Radiology | 2007 | 5 Pages |
Abstract
Three patients with life-threatening variceal hemorrhage secondary to portal vein (PV) thrombosis underwent endovascular treatment via the transsplenic route. The indications, techniques, and early outcomes are described. Each patient had successful portal/splenic vein recanalization with or without transjugular intrahepatic portosystemic shunt (TIPS) creation and variceal embolization with conventional catheter and wire techniques. The transsplenic approach is a useful addition to the interventional armamentarium that can be used in cases refractory to endoscopic management and unsuitable for surgical shunt procedures or conventional TIPS procedures. Longer-term follow-up will be needed to establish the durability of these procedures.
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Authors
David J. MD, FFRRCSI, Jay MD, MRCP, Mervin H. MD, MRCP, Jai V. MD, FRCR, Anthony A. MD, FRCR, David O. MD, FRCR,