使用再入路导管的“自下而上”门静脉再通经颈静脉肝内门体分流术（PVR-TIPS）
"Bottoms-up" portal venous recanalization TIPS (PVR-TIPS) utilizing a re-entry catheter.
作者信息
Loizides Alexander, Freund Martin, Zoller Heinz, Schäfer Benedikt
机构信息
Department of Radiology, Medical University Innsbruck, Anichstrasse 35, Innsbruck, 6020, Austria.
Department of Gastroenterology, Medical University Innsbruck, Anichstrasse 35, Innsbruck, 6020, Austria.
出版信息
CVIR Endovasc. 2024 Dec 23;7(1):91. doi: 10.1186/s42155-024-00510-1.
BACKGROUND
Three patients with portal hypertension and gastrointestinal bleeding due to non-cirrhotic portal vein thrombosis were treated with portal venous recanalization transjugular intrahepatic portosystemic shunt (PVR-TIPS) via a trans-splenic access.
MAIN BODY
A "bottoms-up" retrograde puncture of the right hepatic vein was performed using a re-entry catheter to gain access to the right hepatic vein. In all patients a successful retrograde puncture of the right hepatic vein was achieved, thereby restoring the splenoportal tract.
CONCLUSION
Our cases present an alternative approach to treat chronic portal vein thrombosis expanding the possibilities of the PVR-TIPS procedure.
背景
三名因非肝硬化门静脉血栓形成导致门静脉高压和胃肠道出血的患者通过经脾途径接受了经颈静脉肝内门体分流术（PVR-TIPS）进行门静脉再通治疗。
正文
使用再入导管对右肝静脉进行“自下而上”逆行穿刺以进入右肝静脉。所有患者均成功完成右肝静脉逆行穿刺，从而恢复了脾门静脉通道。
结论
我们的病例展示了一种治疗慢性门静脉血栓形成的替代方法，扩大了PVR-TIPS手术的可能性。
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