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经颈静脉肝内门体分流术、机械性血栓抽吸术及直接溶栓术治疗急性门静脉和肠系膜上静脉血栓形成

Transjugular intrahepatic portosystemic shunt, mechanical aspiration thrombectomy, and direct thrombolysis in the treatment of acute portal and superior mesenteric vein thrombosis.

作者信息

Ferro Carlo, Rossi Umberto G, Bovio Giulio, Dahamane M'hamed, Centanaro Monica

机构信息

Department of Diagnostic and Interventional Radiology, San Martino University Hospital, Largo Rosanna Benzi 10, 16132 Genoa, Italy.

出版信息

Cardiovasc Intervent Radiol. 2007 Sep-Oct;30(5):1070-4. doi: 10.1007/s00270-007-9137-z. Epub 2007 Aug 9.

DOI:10.1007/s00270-007-9137-z
PMID:17687601
Abstract

A patient was admitted because of severe abdominal pain, anorexia, and intestinal bleeding. Contrast-enhanced multidetector computed tomography demonstrated acute portal and superior mesenteric vein thrombosis (PSMVT). The patient was treated percutaneously with transjugular intrahepatic portosystemic shunt (TIPS), mechanical aspiration thrombectomy, and direct thrombolysis, and 1 week after the procedure, complete patency of the portal and superior mesenteric veins was demonstrated. TIPS, mechanical aspiration thrombectomy, and direct thrombolysis together are promising endovascular techniques for the treatment of symptomatic acute PSMVT.

摘要

一名患者因严重腹痛、厌食和肠道出血入院。多排螺旋CT增强扫描显示急性门静脉和肠系膜上静脉血栓形成（PSMVT）。该患者接受了经颈静脉肝内门体分流术（TIPS）、机械抽吸血栓切除术和直接溶栓的经皮治疗，术后1周，门静脉和肠系膜上静脉显示完全通畅。TIPS、机械抽吸血栓切除术和直接溶栓联合应用是治疗有症状急性PSMVT的有前景的血管内技术。

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