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经颈静脉肝内门体分流术的意向性可逆性血栓形成

Intentional reversible thrombosis of transjugular intrahepatic portosystemic shunts.

作者信息

Haskal Z J, Cope C, Soulen M C, Shlansky-Goldberg R D, Baum R A, Redd D C

机构信息

Department of Radiology, University of Pennsylvania Medical Center, Philadelphia 19104, USA.

出版信息

Radiology. 1995 May;195(2):485-8. doi: 10.1148/radiology.195.2.7724771.

DOI:10.1148/radiology.195.2.7724771
PMID:7724771
Abstract

PURPOSE

To assess whether balloon occlusion of a transjugular intrahepatic portosystemic shunt (TIPS) will allow permanent yet reversible shunt thrombosis.

MATERIALS AND METHODS

A balloon catheter was inflated in the midportion of the TIPS in two women with severe, uncontrollable encephalopathy or liver failure (aged 42 and 65 years, respectively) to allow occlusive thrombus to develop below the balloon.

RESULTS

Balloon occlusion led to rapid TIPS thrombosis, which was readily reversible.

CONCLUSION

Balloon thrombosis is a simple technique for complete occlusion of a TIPS. This technique may also be useful for occlusion of surgical mesocaval H-graft shunts or dialysis access shunts.

摘要

目的

评估经颈静脉肝内门体分流术(TIPS)的球囊闭塞是否能实现永久性但可逆的分流道血栓形成。

材料与方法

对两名患有严重、无法控制的脑病或肝功能衰竭的女性(年龄分别为42岁和65岁),在TIPS的中部充盈球囊导管,以使球囊下方形成闭塞性血栓。

结果

球囊闭塞导致TIPS迅速血栓形成,且这种血栓形成易于逆转。

结论

球囊血栓形成是完全闭塞TIPS的一种简单技术。该技术可能也适用于闭塞外科肠系膜上腔静脉H型移植分流术或透析通路分流术。

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