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多囊肝病患者行经颈静脉肝内门体分流术:对禁忌证提出质疑。

Transjugular intrahepatic portosystemic shunt placement in the setting of polycystic liver disease: questioning the contraindication.

作者信息

Shin E S, Darcy M D

机构信息

Mallinckrodt Institute of Radiology, Washington University School of Medicine, 510 S. Kingshighway Boulevard, St. Louis, Missouri 63110, USA.

出版信息

J Vasc Interv Radiol. 2001 Sep;12(9):1099-102. doi: 10.1016/s1051-0443(07)61598-x.

DOI:10.1016/s1051-0443(07)61598-x
PMID:11535774
Abstract

Although polycystic liver disease has long been listed as a contraindication to transjugular intrahepatic portosystemic shunt (TIPS) creation, two cases of TIPS placement in that particular clinical setting have been reported. Another case is reported in this article and the clinical course over 21 months of follow-up is examined. The discussion reviews the mechanics of TIPS creation in a polycystic liver and the vague premise of the polycystic liver as a contraindication to TIPS.

摘要

尽管多囊肝长期以来一直被列为经颈静脉肝内门体分流术(TIPS)创建的禁忌证,但已有两例在该特定临床情况下进行TIPS置入的病例报告。本文报告了另一例病例,并对21个月随访期内的临床过程进行了研究。讨论回顾了多囊肝中TIPS创建的机制以及将多囊肝作为TIPS禁忌证的模糊前提。

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