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经皮腔内超声消融机械性血栓切除术治疗肝内直接门体分流血栓形成：两例报告

Percutaneous rheolytic mechanical thrombectomy in thrombosed direct intrahepatic portosystemic shunt: Report of two cases.

作者信息

Tsetis Dimitrios, Kehagias Elias, Samonakis Dimitrios, Kouroumalis Elias, Hatzidakis Adam

机构信息

Interventional Radiology Unit, Department of Radiology, Faculty of Medicine, University Hospital of Heraklion, University of Crete , Heraklion, Crete , Greece.

Department of Gastroenterology and Hepatology, Faculty of Medicine, University Hospital of Heraklion, University of Crete , Heraklion, Crete , Greece.

出版信息

Interv Med Appl Sci. 2015 Dec;7(4):171-5. doi: 10.1556/1646.7.2015.4.7.

DOI:10.1556/1646.7.2015.4.7
PMID:26767124
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4701168/
Abstract

We report two patients with Budd-Chiari syndrome, who underwent direct intrahepatic portosystemic shunt complicated by shunt thrombosis. Percutaneous AngioJet mechanical thrombectomy in combination with manual catheter aspiration and balloon disruption of the residual clot was successful, restoring patency of the thrombosed shunt.

摘要

我们报告了两名患有布加综合征的患者，他们接受了直接肝内门体分流术，但并发分流血栓形成。经皮AngioJet机械血栓切除术联合手动导管抽吸及对残余血栓的球囊破碎术取得成功，恢复了血栓形成分流的通畅。

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引用本文的文献

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Ultrasound-guided direct intrahepatic portosystemic shunt in patients with Budd-Chiari syndrome: Short- and long-term results.布加综合征患者的超声引导下直接肝内门体分流术：短期和长期结果
Interv Med Appl Sci. 2017 Jun;9(2):86-93. doi: 10.1556/1646.9.2017.2.14.

本文引用的文献

1
Quality improvement guidelines for Transjugular Intrahepatic Portosystemic Shunt (TIPS).经颈静脉肝内门体分流术（TIPS）的质量改进指南。
Cardiovasc Intervent Radiol. 2012 Dec;35(6):1295-300. doi: 10.1007/s00270-012-0493-y. Epub 2012 Oct 16.
2
Direct intrahepatic portocaval shunt.直接肝内门体分流术。
Tech Vasc Interv Radiol. 2008 Dec;11(4):230-4. doi: 10.1053/j.tvir.2009.04.006.
3
Ten years' follow-up of 472 patients following transjugular intrahepatic portosystemic stent-shunt insertion at a single centre.对在单一中心接受经颈静脉肝内门体分流术支架置入术的472例患者进行的十年随访。
Eur J Gastroenterol Hepatol. 2004 Jan;16(1):9-18. doi: 10.1097/00042737-200401000-00003.
4
Mechanical thrombectomy of acute thrombosis in transjugular intrahepatic portosystemic shunts.
Invest Radiol. 2000 Jun;35(6):385-91. doi: 10.1097/00004424-200006000-00008.
5
Transcaval TIPS: indications and anatomic considerations.经颈静脉肝内门体分流术：适应证与解剖学考量
J Vasc Interv Radiol. 1999 Oct;10(9):1233-8. doi: 10.1016/s1051-0443(99)70224-1.
6
A new thrombectomy catheter device (AngioJet) for the disruption of thrombi: An in vitro study.一种用于血栓溶解的新型血栓切除术导管装置（AngioJet）：一项体外研究。
Catheter Cardiovasc Interv. 1999 Jul;47(3):381-9. doi: 10.1002/(sici)1522-726x(199907)47:3<381::aid-ccd29>3.0.co;2-#.
7
Percutaneous hydrodynamic thrombectomy of acute thrombosis in transjugular intrahepatic portosystemic shunt (TIPS): a feasibility study in five patients.经皮水动力血栓切除术治疗经颈静脉肝内门体分流术（TIPS）急性血栓形成：5例患者的可行性研究
Cardiovasc Intervent Radiol. 1997 May-Jun;20(3):180-3. doi: 10.1007/s002709900133.