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经颈静脉肝内门体分流术(TIPS)患者使用Amplatzer血管封堵器进行栓塞治疗。

Embolization with the Amplatzer Vascular Plug in TIPS patients.

作者信息

Pattynama Peter M T, Wils Alexandra, van der Linden Edwin, van Dijk Lukas C

机构信息

Department of Radiology, Erasmus University Medical Center, 's-Gravendijkwal 230, 3015 CE Rotterdam, The Netherlands.

出版信息

Cardiovasc Intervent Radiol. 2007 Nov-Dec;30(6):1218-21. doi: 10.1007/s00270-007-9089-3. Epub 2007 Jun 2.

DOI:10.1007/s00270-007-9089-3
PMID:17546399
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2062488/
Abstract

Vessel embolization can be a valuable adjunct procedure in transjugular intrahepatic portosystemic shunt (TIPS). During the creation of a TIPS, embolization of portal vein collaterals supplying esophageal varices may lower the risk of secondary rebleeding. And after creation of a TIPS, closure of the TIPS itself may be indicated if the resulting hepatic encephalopathy severely impairs mental functioning. The Amplatzer Vascular Plug (AVP; AGA Medical, Golden Valley, MN) is well suited for embolization of large-diameter vessels and has been employed in a variety of vascular lesions including congenital arteriovenous shunts. Here we describe the use of the AVP in the context of TIPS to embolize portal vein collaterals (n = 8) or to occlude the TIPS (n = 2).

摘要

血管栓塞术在经颈静脉肝内门体分流术(TIPS)中可能是一种有价值的辅助操作。在创建TIPS的过程中,栓塞供应食管静脉曲张的门静脉侧支可能会降低继发性再出血的风险。而在创建TIPS后,如果由此导致的肝性脑病严重损害精神功能,则可能需要关闭TIPS本身。Amplatzer血管封堵器(AVP;AGA Medical,明尼苏达州黄金谷)非常适合用于大口径血管的栓塞,并且已用于包括先天性动静脉分流在内的各种血管病变。在此,我们描述了在TIPS的背景下使用AVP栓塞门静脉侧支(n = 8)或闭塞TIPS(n = 2)的情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23b9/2062488/97ab2b9f3da4/270_2007_9089_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23b9/2062488/cb0e1423befa/270_2007_9089_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23b9/2062488/3ffd61df8155/270_2007_9089_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23b9/2062488/97ab2b9f3da4/270_2007_9089_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23b9/2062488/cb0e1423befa/270_2007_9089_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23b9/2062488/3ffd61df8155/270_2007_9089_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23b9/2062488/97ab2b9f3da4/270_2007_9089_Fig3_HTML.jpg

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