经颈静脉肝内门体分流术栓塞术治疗复发性肝性脑病
Embolization of portosystemic shunt for treatment of recurrent hepatic encephalopathy.
作者信息
Gopalakrishna Rajesh, Hurkadli Preetham S, Puthukudy Nazar K, Nair Harikumar R
机构信息
Department of Gastroenterology & Hepatology, Amrita Institute of Medical Sciences, Kochi, Kerala 682041, India.
出版信息
J Clin Exp Hepatol. 2014 Mar;4(1):60-2. doi: 10.1016/j.jceh.2013.12.001. Epub 2014 Jan 2.
Abstract
Hepatic encephalopathy in the setting of advanced chronic liver disease, occurs following a precipitating factor and generally responds to correction of the precipitating factor and anticoma measures. We report the case of a lady with Child A cirrhosis who presented with frequent episodes of hepatic encephalopathy without any precipitating factors. She was found to be having a large portosystemic shunt. The shunt was obliterated by coil embolotherapy following which there was no further episodes of encephalopathy.
摘要
晚期慢性肝病患者发生肝性脑病，通常是在有促发因素的情况下出现，一般通过纠正促发因素及采取抗昏迷措施后病情会有所改善。我们报告一例患有Child A级肝硬化的女性病例，该患者频繁出现肝性脑病发作，且无任何促发因素。检查发现她存在一个大的门体分流。通过弹簧圈栓塞治疗将该分流闭塞后，患者未再出现肝性脑病发作。
相似文献
1
Embolization of portosystemic shunt for treatment of recurrent hepatic encephalopathy.经颈静脉肝内门体分流术栓塞术治疗复发性肝性脑病
J Clin Exp Hepatol. 2014 Mar;4(1):60-2. doi: 10.1016/j.jceh.2013.12.001. Epub 2014 Jan 2.
2
Embolization of splenorenal shunt associated to portal vein thrombosis and hepatic encephalopathy.与门静脉血栓形成和肝性脑病相关的脾肾分流栓塞术
World J Gastroenterol. 2014 Nov 14;20(42):15910-5. doi: 10.3748/wjg.v20.i42.15910.
3
Shunt occlusion for portosystemic shunt syndrome related refractory hepatic encephalopathy-A single-center experience in 21 patients from Kerala.分流闭塞治疗门体分流综合征相关难治性肝性脑病——喀拉拉邦21例患者的单中心经验
Indian J Gastroenterol. 2017 Sep;36(5):411-419. doi: 10.1007/s12664-017-0787-8. Epub 2017 Nov 10.
4
Improvement in survival associated with embolisation of spontaneous portosystemic shunt in patients with recurrent hepatic encephalopathy.复发性肝性脑病患者经自发性门体分流栓塞术后生存率的改善。
Aliment Pharmacol Ther. 2014 Jun;39(12):1418-26. doi: 10.1111/apt.12771. Epub 2014 Apr 22.
5
Transhepatic embolization of a congenital intrahepatic portosystemic shunt for the treatment of hepatic encephalopathy in a noncirrhotic patient using Amplatzer vascular plug device.使用Amplatzer血管封堵器对非肝硬化患者的先天性肝内门体分流进行经肝栓塞治疗肝性脑病。
Radiol Case Rep. 2017 Feb 10;12(2):318-322. doi: 10.1016/j.radcr.2016.12.006. eCollection 2017 Jun.
6
Preloading Coil in Plug Method (p-CIP) with the AVP 2 for large Portosystemic Shunt Embolization.使用AVP 2的预加载线圈栓塞法（p-CIP）用于大型门体分流栓塞术。
Radiol Case Rep. 2021 Aug 1;16(10):2899-2903. doi: 10.1016/j.radcr.2021.06.075. eCollection 2021 Oct.
7
Hybrid Surgery for Portosystemic Encephalopathy in a Patient with Liver Cirrhosis: a case report.肝硬化患者门体分流性脑病的杂交手术：一例报告
Hiroshima J Med Sci. 2017 Mar;66(1):11-15.
8
Portosystemic shunts and refractory hepatic encephalopathy: patient selection and current options.门体分流与难治性肝性脑病：患者选择及当前治疗方案
Hepat Med. 2019 Jan 25;11:23-34. doi: 10.2147/HMER.S169024. eCollection 2019.
9
Concomitant hepatic encephalopathy and refractory ascites: successful treatment with staged embolization of two large portosystemic shunts and transjugular intrahepatic portosystemic shunt placement.合并肝性脑病和难治性腹水：通过分期栓塞两个大型门体分流及经颈静脉肝内门体分流术成功治疗
J Vasc Interv Radiol. 2007 Nov;18(11):1441-6. doi: 10.1016/j.jvir.2007.07.023.
10
Analysis of prognostic variables in the prediction of mortality, shunt failure, variceal rebleeding and encephalopathy following the transjugular intrahepatic portosystemic stent-shunt for variceal haemorrhage.经颈静脉肝内门体分流术治疗静脉曲张出血后，对死亡率、分流失败、静脉曲张再出血和肝性脑病预测中的预后变量分析
J Hepatol. 1995 Aug;23(2):123-8. doi: 10.1016/0168-8278(95)80325-4.
引用本文的文献
1
Embolization in Pediatric Patients: A Comprehensive Review of Indications, Procedures, and Clinical Outcomes.儿科患者的栓塞治疗：适应症、操作及临床结果的综合综述
J Clin Med. 2022 Nov 8;11(22):6626. doi: 10.3390/jcm11226626.
2
A large spontaneous intrahepatic portosystemic shunt in a cirrhotic patient.一名肝硬化患者出现巨大自发性肝内门体分流。
Intractable Rare Dis Res. 2016 Feb;5(1):58-60. doi: 10.5582/irdr.2016.01000.
3
Hydrogel-Coated Coils: Product Description and Clinical Applications.水凝胶涂层线圈：产品描述与临床应用
Semin Intervent Radiol. 2015 Dec;32(4):343-8. doi: 10.1055/s-0035-1564809.
本文引用的文献
1
Embolization of large spontaneous portosystemic shunts for refractory hepatic encephalopathy: a multicenter survey on safety and efficacy.大自发性门腔分流栓塞治疗难治性肝性脑病：安全性和疗效的多中心调查。
Hepatology. 2013 Jun;57(6):2448-57. doi: 10.1002/hep.26314. Epub 2013 May 1.
2
Intrahepatic portosystemic venous shunt: successful embolization using the Amplatzer Vascular Plug II.肝内门体静脉分流：使用 Amplatzer Vascular Plug II 成功栓塞。
Korean J Radiol. 2012 Nov-Dec;13(6):827-31. doi: 10.3348/kjr.2012.13.6.827. Epub 2012 Oct 12.
3
Embolization of congenital intrahepatic porto-systemic shunt by n-butyl cyanoacrylate.经氰基丙烯酸正丁酯栓塞先天性肝内门体分流。
Indian J Pediatr. 2009 Oct;76(10):1059-60. doi: 10.1007/s12098-009-0202-2. Epub 2009 Nov 12.
4
Persistent portosystemic shunts after liver transplantation causing episodic hepatic encephalopathy.肝移植后持续性门体分流导致间歇性肝性脑病。
Dig Dis Sci. 2010 Jun;55(6):1794-8. doi: 10.1007/s10620-009-0901-6. Epub 2009 Aug 5.
5
Selective embolization of the splenic vein in patients with hepatic encephalopathy and splenorenal shunt.肝性脑病合并脾肾分流患者脾静脉的选择性栓塞术。
J Vasc Interv Radiol. 2004 Dec;15(12):1475-81. doi: 10.1097/01.RVI.0000141447.87966.D7.
6
The portal venous system: on its pathological roentgen anatomy.
Radiology. 1956 Feb;66(2):206-17. doi: 10.1148/66.2.206.
7
Intrahepatic portosystemic venous shunt: diagnosis by colour/power Doppler imaging and three-dimensional ultrasound.肝内门体静脉分流：通过彩色/能量多普勒成像及三维超声诊断
Br J Radiol. 2003 Jul;76(907):487-90. doi: 10.1259/bjr/65168282.
8
Intrahepatic portosystemic venous shunt: occurrence in patients with and without liver cirrhosis.肝内门体静脉分流：在肝硬化患者和非肝硬化患者中的发生率
AJR Am J Roentgenol. 1987 Oct;149(4):711-4. doi: 10.2214/ajr.149.4.711.
Zotero 插件