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慢性门静脉血栓形成的球囊血管成形术治疗

Treatment With Balloon Angioplasty of Chronic Portal Vein Thrombosis.

作者信息

Tumgor Gokhan, Yavuz Sibel, Uskudar Oguz, Ozkan Ugur

机构信息

Department of Pediatric Gastroenterology, Cukurova University, Adana, Turkey.

Department of Gastroenterology, Cukurova University, Adana, Turkey.

出版信息

ACG Case Rep J. 2022 Mar 28;9(3):e00752. doi: 10.14309/crj.0000000000000752. eCollection 2022 Mar.

DOI:10.14309/crj.0000000000000752
PMID:35359751
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8963834/
Abstract

The therapeutic options in portal vein thrombosis cases of young age and low weight, as in this case, are limited. Interventional radiologists also have minimal experience in pediatric patients. There are no reported cases anywhere worldwide, especially in this age group. However, we think that balloon angioplasty can be safely applied in cases in which esophageal variceal bleeding cannot be controlled using traditional treatment.

摘要

像本病例这样的年轻且体重低的门静脉血栓形成病例的治疗选择有限。介入放射科医生在儿科患者方面的经验也很少。全球各地均无相关病例报道，尤其是在这个年龄组。然而，我们认为在无法用传统治疗控制食管静脉曲张出血的病例中，可以安全地应用球囊血管成形术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f64/8963834/b0b6a4dfd5f4/ac9-9-e00752-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f64/8963834/3bd4c0586a56/ac9-9-e00752-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f64/8963834/b0b6a4dfd5f4/ac9-9-e00752-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f64/8963834/3bd4c0586a56/ac9-9-e00752-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f64/8963834/b0b6a4dfd5f4/ac9-9-e00752-g002.jpg

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本文引用的文献

1
Stent insertion and balloon angioplasty for portal vein stenosis after liver transplantation: long-term follow-up results.支架置入和球囊血管成形术治疗肝移植后门静脉狭窄：长期随访结果。
Diagn Interv Radiol. 2019 May;25(3):231-237. doi: 10.5152/dir.2019.18155.
2
Long-Term Outcome of Portal Vein Stent Placement in Pediatric Liver Transplant Recipients: A Comparison with Balloon Angioplasty.小儿肝移植受者门静脉支架置入的长期预后：与球囊血管成形术的比较
J Vasc Interv Radiol. 2018 Jun;29(6):800-808. doi: 10.1016/j.jvir.2017.11.019. Epub 2018 Mar 13.
3
Portal hypertension and its management in children.
儿童门静脉高压及其处理。
Arch Dis Child. 2018 Feb;103(2):186-191. doi: 10.1136/archdischild-2015-310022. Epub 2017 Aug 16.
4
Neonatal portal vein thrombosis: diagnosis and management.新生儿门静脉血栓形成：诊断与治疗。
Semin Fetal Neonatal Med. 2011 Dec;16(6):329-39. doi: 10.1016/j.siny.2011.08.005. Epub 2011 Sep 16.
5
Percutaneous transhepatic portography for the treatment of early portal vein thrombosis after surgery.经皮经肝门静脉造影术治疗术后早期门静脉血栓形成
Cardiovasc Intervent Radiol. 2007 Nov-Dec;30(6):1222-6. doi: 10.1007/s00270-007-9056-z. Epub 2007 Jun 18.
6
Review article: portal vein thrombosis -- new insights into aetiology and management.综述文章：门静脉血栓形成——病因学与管理的新见解
Aliment Pharmacol Ther. 2005 Jan 1;21(1):1-9. doi: 10.1111/j.1365-2036.2004.02301.x.