Raat H, Stockx L, Ranschaert E, Nevens F, Wilms G, Baert A L
Department of Radiology, University Hospitals, Leuven, Belgium.
Cardiovasc Intervent Radiol. 1997 May-Jun;20(3):180-3. doi: 10.1007/s002709900133.
To evaluate the feasibility of percutaneous hydrodynamic thrombectomy in restoring patency of acutely thrombosed stent-shunts after transjugular intrahepatic portosystemic shunt (TIPS).
Percutaneous hydrodynamic thrombectomy was performed in five consecutive patients with angiographically documented complete thrombosis of the stent-shunt which developed within 2 weeks after the TIPS procedure. Thrombectomy was performed with a hydrolytic suction thrombectomy catheter, introduced via a transjugular approach.
In all patients, immediate restoration of patency of the stent-shunt was achieved after deploying additional stent(s) to cover residual adherent mural thrombus. In two patients early reocclusion occurred.
Percutaneous hydrolytic suction thrombectomy in acutely thrombosed intrahepatic portosystemic shunts is technically feasible.
评估经皮水动力血栓切除术恢复经颈静脉肝内门体分流术（TIPS）后急性血栓形成的支架分流道通畅性的可行性。
对连续5例患者进行经皮水动力血栓切除术，这些患者在TIPS术后2周内造影显示支架分流道完全血栓形成。通过经颈静脉途径引入水解抽吸血栓切除导管进行血栓切除术。
所有患者在植入额外支架以覆盖残留的附着壁血栓后，支架分流道立即恢复通畅。2例患者发生早期再闭塞。
经皮水解抽吸血栓切除术治疗急性血栓形成的肝内门体分流道在技术上是可行的。
