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部分肝移植后门静脉海绵样变性患儿成功置入门静脉支架:可识别门静脉残端的重要性

Successful Portal Vein Stent Placement in a Child with Cavernomatous Replacement of the Portal Vein After Partial Liver Transplantation: The Importance of a Recognizable Portal Vein Remnant.

作者信息

Miraglia Roberto, Maruzzelli Luigi, Caruso Settimo, Ricotta Calogero, Riva Silvia, Burgio Gaetano, Spada Marco, Luca Angelo

机构信息

Radiology Service, Department of Diagnostic and Therapeutic Services, Mediterranean Institute for Transplantation and Advanced Specialized Therapies (ISMETT), Via Ernesto Tricomi 5, 90127, Palermo, Italy.

Abdominal Surgery and Organ Transplantation Unit, Department for the Treatment and Study of Abdominal Diseases and Abdominal Transplantation, Mediterranean Institute for Transplantation and Advanced Specialized Therapies (ISMETT), Palermo, Italy.

出版信息

Cardiovasc Intervent Radiol. 2015 Dec;38(6):1658-62. doi: 10.1007/s00270-015-1084-5. Epub 2015 Mar 26.

Abstract

Late portal vein thrombosis with cavernomatous replacement has been reported in 4.5% of pediatric patients who have undergone partial liver transplantation. In such cases, minimally invasive radiological treatments have a high failure rate. We report a successful case of percutaneous recanalization of the portal vein remnant, and subsequent stent placement, in a pediatric patient who underwent left lateral split liver transplantation with cavernomatous replacement of the portal vein.

摘要

据报道,在接受部分肝移植的儿科患者中,4.5%出现了伴有海绵样变性的晚期门静脉血栓形成。在这种情况下,微创放射治疗的失败率很高。我们报告了一例成功的病例,该例接受左侧劈离式肝移植且门静脉有海绵样变性的儿科患者,经皮再通门静脉残端并随后置入支架。

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