经下腔静脉支架支柱行经皮经肝内门体分流术治疗布加综合征：技术改良。
Transjugular intrahepatic portocaval shunt placed through the strut of an inferior vena cava stent in a patient with Budd-Chiari syndrome: a technical modification.
机构信息
Department of Radiology, Christian Medical College and Hospital, Vellore, Tamil Nadu, India.
出版信息
Br J Radiol. 2010 Jan;83(985):e22-4. doi: 10.1259/bjr/60833972.
Abstract
Transjugular intrahepatic portocaval shunt (TIPS) is performed in patients with symptomatic Budd-Chiari syndrome (BCS) who do not have repairable hepatic veins. We report the case of a patient who had an inferior vena cava (IVC) stent placed previously as part of the management for BCS, and who subsequently required TIPS. The TIPS tract was created through the strut of the previously placed IVC stent; the TIPS stent was placed after dilatation of the liver parenchyma as well as the strut of the IVC stent. This novel technique of "strutplasty" of a previously placed stent as part of TIPS has not been reported in the literature.
摘要
经颈静脉肝内门体分流术（TIPS）适用于患有症状性布加综合征（BCS）且不可修复肝静脉的患者。我们报告了 1 例先前因 BCS 接受下腔静脉（IVC）支架置入术的患者，随后需要进行 TIPS。TIPS 通道是通过先前放置的 IVC 支架的支柱创建的；在扩张肝实质和 IVC 支架的支柱后，放置 TIPS 支架。这种将先前放置的支架作为 TIPS 一部分进行“支柱成形术”的新技术尚未在文献中报道。
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本文引用的文献
1
Placement of a catheter through the struts of a previously placed stent for maintenance hemodialysis: a case report.
Semin Dial. 2008 Nov-Dec;21(6):575-7. doi: 10.1111/j.1525-139X.2008.00490.x. Epub 2008 Sep 5.
2
Long-term outcome of a covered vs. uncovered transjugular intrahepatic portosystemic shunt in Budd-Chiari syndrome.
Liver Int. 2008 Feb;28(2):249-56. doi: 10.1111/j.1478-3231.2007.01649.x.
3
Intravascular US-guided direct intrahepatic portocaval shunt with an expanded polytetrafluoroethylene-covered stent-graft.
Radiology. 2008 Jan;246(1):306-14. doi: 10.1148/radiol.2461062191.
4
Direct intrahepatic cavo-portal shunts in Budd-Chiari syndrome: Role of simultaneous fluoroscopy and trans-abdominal ultrasonography.
Indian J Gastroenterol. 2006 Sep-Oct;25(5):248-50.
5
DK crush technique: modified treatment of bifurcation lesions in coronary artery.
Chin Med J (Engl). 2005 Oct 20;118(20):1746-50.
6
Favourable medium term outcome following hepatic vein recanalisation and/or transjugular intrahepatic portosystemic shunt for Budd Chiari syndrome.
Gut. 2006 Jun;55(6):878-84. doi: 10.1136/gut.2005.071423. Epub 2005 Sep 20.
7
Modified T-stenting technique with crushing for bifurcation lesions: immediate results and 30-day outcome.
Catheter Cardiovasc Interv. 2003 Oct;60(2):145-51. doi: 10.1002/ccd.10622.
8
Intravascular US-guided direct intrahepatic portacaval shunt with a PTFE-covered stent-graft: feasibility study in swine and initial clinical results.
J Vasc Interv Radiol. 2001 Apr;12(4):475-86. doi: 10.1016/s1051-0443(07)61887-9.
9
Creation of a portal vein to inferior vena cava shunt using CT guidance and a covered endovascular stent.
AJR Am J Roentgenol. 1997 Oct;169(4):1159-60. doi: 10.2214/ajr.169.4.9308482.
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