经颈静脉肝内门体分流术治疗门静脉高压后延迟性肝破裂。
Delayed liver laceration following transjugular intrahepatic portosystemic shunt for portal hypertension.
机构信息
Research Institute of General Surgery, Jinling Hospital, Clinical School of Medicine, Nanjing University, Nanjing 210002, Jiangsu Province, China.
出版信息
World J Gastroenterol. 2012 Dec 28;18(48):7405-8. doi: 10.3748/wjg.v18.i48.7405.
Abstract
The transjugular intrahepatic portosystemic shunt (TIPS) is an acceptable procedure that has proven benefits in the treatment of patients who have complications from portal hypertension due to liver cirrhosis. Delayed liver laceration is a rare complication of the TIPS procedure. We describe a patient with portal hypertension due to liver cirrhosis, who suddenly presented with abdominal hemorrhage and liver laceration 8 d after TIPS. Few reports have described complications after TIPS placement. To the best of our knowledge, this is the first report describing delayed liver laceration. This potential and serious complication appears to be specific and fatal for TIPS in portal hypertension. We advocate careful attention to the technique to avoid this complication, and timely treatment is extremely important.
摘要
经颈静脉肝内门体分流术（TIPS）是一种可接受的手术，已被证明可治疗因肝硬化导致门静脉高压并发症的患者。TIPS 术后迟发性肝裂伤是一种罕见的并发症。我们描述了一位因肝硬化导致门静脉高压的患者，在 TIPS 术后 8 天突然出现腹部出血和肝裂伤。很少有报道描述 TIPS 放置后的并发症。据我们所知，这是首例描述迟发性肝裂伤的报告。这种潜在的严重并发症似乎是 TIPS 在门静脉高压中的特异性和致命性并发症。我们主张谨慎关注技术以避免这种并发症，及时治疗至关重要。
相似文献
1
Delayed liver laceration following transjugular intrahepatic portosystemic shunt for portal hypertension.经颈静脉肝内门体分流术治疗门静脉高压后延迟性肝破裂。
World J Gastroenterol. 2012 Dec 28;18(48):7405-8. doi: 10.3748/wjg.v18.i48.7405.
2
Reducing risk of transjugular intrahepatic portosystemic shunt using ultrasound guided single needle pass.采用超声引导单针穿刺技术降低经颈静脉肝内门体分流术的风险。
World J Gastroenterol. 2013 Jun 14;19(22):3528-30. doi: 10.3748/wjg.v19.i22.3528.
3
A patient with portal hypertension and blindness after transjugular intrahepatic portosystemic shunt.一名患有门静脉高压症且在经颈静脉肝内门体分流术后失明的患者。
Eur J Gastroenterol Hepatol. 2006 Apr;18(4):447-9. doi: 10.1097/00042737-200604000-00022.
4
Transjugular intrahepatic portosystemic shunts and portal hypertension-related complications.经颈静脉肝内门体分流术与门静脉高压相关并发症
World J Gastroenterol. 2014 Dec 7;20(45):16996-7010. doi: 10.3748/wjg.v20.i45.16996.
5
The role of transjugular intrahepatic portosystemic shunt (TIPS) in the management of portal hypertension.经颈静脉肝内门体分流术（TIPS）在门静脉高压症治疗中的作用。
J Clin Gastroenterol. 2007 Nov-Dec;41 Suppl 3:S344-51. doi: 10.1097/MCG.0b013e318157e500.
6
[Hemolytic anemia secondary to the placement of a portosystemic stented shunt].[门静脉系统支架分流术后继发溶血性贫血]
Cir Cir. 2013 Mar-Apr;81(2):143-7.
7
Transjugular intrahepatic portosystemic shunt for recompensating decompensated cirrhosis?经颈静脉肝内门体分流术治疗失代偿期肝硬化？
World J Gastroenterol. 2024 May 28;30(20):2621-2623. doi: 10.3748/wjg.v30.i20.2621.
8
Transjugular intrahepatic portosystemic shunt in patients with cirrhosis: Indications and posttransjugular intrahepatic portosystemic shunt complications in 2020.经颈静脉肝内门体分流术治疗肝硬化患者：适应证和 2020 年经颈静脉肝内门体分流术相关并发症。
United European Gastroenterol J. 2021 Mar;9(2):203-208. doi: 10.1177/2050640620952637. Epub 2021 Feb 23.
9
Targeted puncture of left branch of intrahepatic portal vein in transjugular intrahepatic portosystemic shunt to reduce hepatic encephalopathy.经颈静脉肝内门体分流术时经皮穿刺左支门静脉以减少肝性脑病。
World J Gastroenterol. 2019 Mar 7;25(9):1088-1099. doi: 10.3748/wjg.v25.i9.1088.
10
Parallel transjugular intrahepatic portosystemic shunt for controlling portal hypertension complications in cirrhotic patients.经颈静脉肝内门体分流术用于控制肝硬化患者门静脉高压并发症
World J Gastroenterol. 2014 Sep 7;20(33):11835-9. doi: 10.3748/wjg.v20.i33.11835.
引用本文的文献
1
The Role of the Transjugular Intrahepatic Porto-Systemic Shunt in an Emergency Setting.经颈静脉肝内门体分流术在急诊情况下的作用
Life (Basel). 2023 Mar 24;13(4):868. doi: 10.3390/life13040868.
2
Modified gun-sight transjugular intrahepatic portosystemic shunt technique.改良经枪形探头引导下经颈内静脉肝内门体分流术。
Br J Radiol. 2022 Dec 1;95(1140):20220556. doi: 10.1259/bjr.20220556. Epub 2022 Oct 6.
3
Narrative review of vascular iatrogenic trauma and endovascular treatment.血管医源性创伤与血管内治疗的叙述性综述
Ann Transl Med. 2021 Jul;9(14):1199. doi: 10.21037/atm-20-4332.
4
Transjugular intrahepatic portosystemic shunt complications: prevention and management.经颈静脉肝内门体分流术并发症：预防与处理
Semin Intervent Radiol. 2015 Jun;32(2):123-32. doi: 10.1055/s-0035-1549376.
5
Reducing risk of transjugular intrahepatic portosystemic shunt using ultrasound guided single needle pass.采用超声引导单针穿刺技术降低经颈静脉肝内门体分流术的风险。
World J Gastroenterol. 2013 Jun 14;19(22):3528-30. doi: 10.3748/wjg.v19.i22.3528.
本文引用的文献
1
Comprehensive review of TIPS technical complications and how to avoid them.经颈静脉肝内门体分流术技术并发症的全面综述及如何预防。
AJR Am J Roentgenol. 2011 Mar;196(3):675-85. doi: 10.2214/AJR.10.4819.
2
3
Favorable clinical outcome using a covered stent following transjugular intrahepatic portosystemic shunt in patients with portal hypertension.经颈静脉肝内门体分流术后使用覆膜支架治疗门静脉高压患者的良好临床转归。
J Hepatobiliary Pancreat Sci. 2010 Sep;17(5):701-8. doi: 10.1007/s00534-010-0270-8. Epub 2010 Mar 18.
4
Early use of TIPS in patients with cirrhosis and variceal bleeding.经颈静脉肝内门体分流术在肝硬化并食管胃静脉曲张出血患者中的早期应用。
N Engl J Med. 2010 Jun 24;362(25):2370-9. doi: 10.1056/NEJMoa0910102.
5
Liver transplantation due to iatrogenic injuries: two case reports.医源性损伤所致肝移植：两例病例报告
Transplant Proc. 2010 May;42(4):1375-7. doi: 10.1016/j.transproceed.2010.03.077.
6
Emerging issues in the use of transjugular intrahepatic portosystemic shunt (TIPS) for management of portal hypertension: time to update the guidelines?经颈静脉肝内门体分流术（TIPS）治疗门静脉高压症的新问题：是时候更新指南了吗？
Dig Liver Dis. 2010 Jul;42(7):462-7. doi: 10.1016/j.dld.2009.11.007. Epub 2009 Dec 29.
7
The Role of Transjugular Intrahepatic Portosystemic Shunt (TIPS) in the Management of Portal Hypertension: update 2009.经颈静脉肝内门体分流术（TIPS）在门静脉高压管理中的作用：2009年更新
Hepatology. 2010 Jan;51(1):306. doi: 10.1002/hep.23383.
8
Combined TIPS with portal-azygous disconnection improved the long term clinical outcome in portal hypertension patients.经颈静脉肝内门体分流术（TIPS）联合奇静脉断流术改善了门静脉高压症患者的长期临床疗效。
J Hepatobiliary Pancreat Surg. 2009;16(6):858-64. doi: 10.1007/s00534-009-0189-0.
9
Portal hypertension and variceal bleeding--unresolved issues. Summary of an American Association for the study of liver diseases and European Association for the study of the liver single-topic conference.门静脉高压症与静脉曲张破裂出血——未解决的问题。美国肝病研究协会和欧洲肝脏研究协会单一主题会议总结
Hepatology. 2008 May;47(5):1764-72. doi: 10.1002/hep.22273.
10
Late intrahepatic hematoma complicating transjugular intrahepatic portosystemic shunt for Budd-Chiari syndrome.
Cardiovasc Intervent Radiol. 2007 Sep-Oct;30(5):1065-9. doi: 10.1007/s00270-007-9067-9. Epub 2007 Jun 2.
Zotero 插件