使用AMPLATZER血管封堵器II成功栓塞肝内门体静脉分流
Successful embolisation of intrahepatic portosystemic venous shunt using AMPLATZER Vascular Plug II.
作者信息
Tomiyama Akiko, Oguro Sota, Kato Mayumi, Watanabe Hiromi, Yamazaki Hiroya, Suzuki Tatsuya, Tominaga Shinichi
机构信息
Department of Diagnostic Radiology, School of Medicine, Keio University, Tokyo, Japan.
Department of Radiology, Saitama City Hospital, Saitama, Japan.
出版信息
BJR Case Rep. 2016 Dec 19;3(2):20160061. doi: 10.1259/bjrcr.20160061. eCollection 2017.
An intrahepatic portosystemic venous shunt is a relatively rare abnormality that can cause encephalopathy owing to hyperammonaemia. Two patients with encephalopathy owing to intrahepatic portosystemic venous shunts were treated with transcatheter emboli sation using the AMPLATZER Vascular Plug II. Both patients achieved complete obliteration, which was confirmed on dynamic CT. Their symptoms that had been related to portalsystemic encephalopathy subsequently improved after the intervention. No short-term complications were observed in either patient. We recommend that the AMPLATZER Vascular Plug II be used for embolis ation owing to its superior safety and utility when compared with metallic coils or other liquid embolic materials.
肝内门体静脉分流是一种相对罕见的异常情况，可因高氨血症导致脑病。两名因肝内门体静脉分流而患有脑病的患者接受了使用AMPLATZER血管封堵器II进行的经导管栓塞治疗。两名患者均实现了完全闭塞，动态CT证实了这一点。干预后，他们与门体性脑病相关的症状随后得到改善。两名患者均未观察到短期并发症。我们建议使用AMPLATZER血管封堵器II进行栓塞，因为与金属线圈或其他液体栓塞材料相比，它具有更高的安全性和实用性。
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