Saad Wael E A
Division of Vascular Interventional Radiology, Department of Radiology and Medical Imaging, University of Virginia Health System, Charlottesville, Virginia.
Semin Intervent Radiol. 2012 Jun;29(2):99-104. doi: 10.1055/s-0032-1312570.
Portal vein interventions in liver transplant recipients represent a group of interventions in the management of several disease entities including portal vein stenosis, portal vein thrombosis, and recurrent liver cirrhosis with portal hypertension with and without gastric varices. The procedures performed in these patient populations include portal vein angioplasty with or without stent placement for portal vein stenosis, portal vein thrombolysis with or without stent placement for portal vein thrombosis, transjugular intrahepatic portosystemic shunts or splenic embolization for cirrhosis, and balloon-occluded retrograde transvenous obliteration for gastric varices. This article discusses these disease entities and the minimal invasive procedures used in their management.
肝移植受者的门静脉介入治疗是针对多种疾病实体进行管理的一组介入治疗,这些疾病包括门静脉狭窄、门静脉血栓形成以及伴有或不伴有胃静脉曲张的复发性肝硬化合并门静脉高压。在这些患者群体中进行的操作包括:针对门静脉狭窄进行门静脉血管成形术(有无支架置入)、针对门静脉血栓形成进行门静脉溶栓(有无支架置入)、针对肝硬化进行经颈静脉肝内门体分流术或脾栓塞,以及针对胃静脉曲张进行球囊闭塞逆行静脉栓塞术。本文讨论了这些疾病实体及其管理中使用的微创操作。