Abstract:
:The purpose of the study was to evaluate the feasibility and effectiveness of direct porto-caval shunts in patients with Budd-Chiari syndrome (BCS) in whom there is no access to the hepatic veins during transjugular intrahepatic portosystemic shunt (TIPSS). We included six consecutive patients with fulminant/acute Budd-Chiari syndrome (mean age: 35 years) in whom a conventional TIPSS was not possible due to inaccessible hepatic veins. We performed a direct porto-caval shunt via a transhepatic approach. Patients were followed up by means of clinical examination, laboratory investigations, and Doppler ultrasound. TIPSS implantation from the inferior vena cava (IVC) was successful in all six patients (100%). The median transhepatic shunt length was 9 cm (8-10 cm). No procedure-related complications were observed in our patients. Early shunt occlusion occurred in three out of six patients (50%). In all three of these patients, the stent used to stabilize the shunt ended 1-2 cm before reaching the IVC. All occlusions were successfully recanalized. One of these patients developed recurrent early shunt as well as mesenteric and splenic vein occlusions. She died 7 days after TIPSS placement due to an unmanageable coagulation disorder. The remaining five patients were followed up by planned clinical examination and laboratory investigations (mean follow-up time was 15 months; patient 1 was followed up for 13 months, patient 2 for 14 months, patient 3 for 15 months, and patients 4 and 5 for 16 months) and all displayed a complete and durable resolution of liver failure and ascites without reintervention. In patients with acute liver failure originating from BCS and inaccessible hepatic veins, a direct transhepatic porto-caval shunt can be performed safely and effectively under ultrasound guidance. Future studies in larger patient groups should investigate if the patency of transcaval TIPSS with long transhepatic shunt segments is similar compared to conventional TIPSS via the hepatic vein.
journal_name
Cardiovasc Intervent Radioljournal_title
Cardiovascular and interventional radiologyauthors
Quateen A,Pech M,Berg T,Bergk A,Podrabsky P,Felix R,Ricke Jdoi
10.1007/s00270-005-0103-3subject
Has Abstractpub_date
2006-07-01 00:00:00pages
565-70issue
4eissn
0174-1551issn
1432-086Xjournal_volume
29pub_type
杂志文章abstract::Transjugular intrahepatic portosystemic shunt (TIPS) has evolved as an effective intervention for treatment of complications of portal hypertension. The use of polytetrafluoroethylene-covered stents have improved the patency of the shunts and diminished the incidence of TIPS dysfunction. However, TIPS-related refracto...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章,评审
doi:10.1007/s00270-015-1197-x
更新日期:2016-02-01 00:00:00
abstract::Two patients with sudden onset of acute abdominal pain caused by embolic disease of the superior mesenteric artery (SMA) were evaluated angiographically. In one patient, the study was performed soon after the clinical onset of symptoms, and successful treatment with low-dose topical streptokinase infusion produced tot...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
doi:10.1007/BF02552688
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abstract:PURPOSE:The safety of liquid embolics over the conventional coils for the treatment of non-variceal upper gastrointestinal bleeding (UGIB) approach is still unclear. Purpose of this study is to assess the safety of ethylene-vinyl alcohol copolymer (EVOH 6%) over coils in the treatment of UGIB. MATERIALS AND METHODS:Al...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
doi:10.1007/s00270-018-1981-5
更新日期:2018-09-01 00:00:00
abstract::We performed percutaneously radiofrequency (RF) ablation of 5 renal cell carcinomas (mean diameter 26 +/- 15 mm) with computed-tomography (CT) fluoroscopic guidance using the transhepatic route. The RF electrode was successfully advanced into all tumors. RF ablation caused one minor complication (small asymptomatic pe...
journal_title:Cardiovascular and interventional radiology
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doi:10.1007/s00270-007-9037-2
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abstract::This study evaluated the safety, feasibility, and clinical utility of hyaluronic acid gel injection to separate the gastrointestinal tract from the tumor during liver radiofrequency ablation (RFA). Eleven patients with liver tumors measuring 0.9-3.5 cm (mean ± standard deviation, 2.1 ± 0.8 cm) that were adjacent to th...
journal_title:Cardiovascular and interventional radiology
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doi:10.1007/s00270-013-0546-x
更新日期:2013-08-01 00:00:00
abstract:PURPOSE:This study was designed to evaluate retrospectively the results of complex iliac artery aneurysm (IAA) exclusion using the Cardiatis-Multilayer-Stent. METHODS:Between October 2010 and August 2012, ten IAAs were treated in eight males (mean age 75 (59-91) years) using the Multilayer Stent. All IAA exceeded a di...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章,多中心研究
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abstract:BACKGROUND AND PURPOSE:To evaluate feasibility and impact of dual aspiration technique (DAT) within stent-assisted mechanical thrombectomy on procedural parameters and clinical outcome. MATERIALS AND METHODS:Within 16 months, 76 consecutive patients (mean age 70.7 year; range 33-89) underwent stent-assisted mechanical...
journal_title:Cardiovascular and interventional radiology
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abstract::The "arterial plug" is a resistant thrombus that frequently persists at the arterial anastomosis of clotted hemodialysis grafts following thrombolytic therapy. We studied the physical and morphological characteristics of the plug and determined the feasibility of transcatheter removal in vitro using the tulip compress...
journal_title:Cardiovascular and interventional radiology
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doi:10.1007/s002709900126
更新日期:1997-03-01 00:00:00
abstract::The following case report describes the AV spear technique for percutaneous deep venous arterialization. After an ultrasound survey was performed to find the puncture point adjacent to the ankle joint where the posterior tibial vein (PTV) runs superficially to the posterior tibial artery (PTA), percutaneous penetratio...
journal_title:Cardiovascular and interventional radiology
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abstract::Cystic insulinomas are rare, with only three cases having been reported in the literature. It is not difficult to determine the site of such neoplasms, as cystic insulinomas are usually 4-10 cm in diameter. We report a patient with a histologically confirmed cystic insulinoma. This case is unique because of the small ...
journal_title:Cardiovascular and interventional radiology
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doi:10.1007/BF02743540
更新日期:1997-07-01 00:00:00
abstract::The authors report the experience of using long coils of 2 m length in the management of large aneurysms. Knowledge of the characteristics of these coils is of value for correct placement. These coils are safe and cost-effective for excluding large aneurysms. ...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
doi:10.1007/s00270-001-0046-2
更新日期:2002-01-01 00:00:00
abstract:PURPOSE:To determine the influence of preoperative aneurysmal thrombus quantity and distribution on the development of type II endoleak with aneurysm sac enlargement after endovascular aneurysm repair (EVAR). MATERIALS AND METHODS:We retrospectively analyzed the pre- and postoperatively performed CT scans of 118 patie...
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更新日期:2016-08-01 00:00:00
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journal_title:Cardiovascular and interventional radiology
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doi:10.1007/s002700010061
更新日期:2000-09-01 00:00:00
abstract:PURPOSE:Pelvic congestion syndrome is a common cause of chronic pelvic pain in women and its association with venous congestion has been described in the literature. We evaluated the potential benefits of lumbo-ovarian vein embolization in the treatment of lower abdominal pain in patients presenting with pelvic varicos...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
doi:10.1007/s002709900116
更新日期:1997-03-01 00:00:00
abstract::A Palmaz stent had dislodged into the left pulmonary artery after TIPS. After transfemoral catheterization of the left pulmonary artery, the stent was retrieved into the right femoral vein employing an angioplastic balloon catheter and finally extracted after surgical venotomy. ...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
doi:10.1007/BF02807232
更新日期:1995-03-01 00:00:00
abstract:PURPOSE:To evaluate experimentally the retrievability of the Tulip inferior vena cava (IVC) filter in an in vivo study. Changes which accompany venous healing after filter retrieval were investigated. METHODS:In 12 dogs, 23 filters were inserted percutaneously into the lumbar and intrahepatic segments of the IVC. Two ...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
doi:10.1007/s00270-001-0066-y
更新日期:2001-11-01 00:00:00
abstract:PURPOSE:This study was designed to evaluate preliminarily the feasibility and safety of magnetic resonance-guided focused ultrasound (MRgFUS) for treatment of solid tumors in the upper abdomen. METHODS:We enrolled one patient with hepatocellular carcinoma and two patients with pancreatic adenocarcinoma for MRgFUS abla...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
doi:10.1007/s00270-014-0861-x
更新日期:2014-12-01 00:00:00
abstract:INTRODUCTION:Mesenteric bleeding is a rare but potentially life-threatening complication of blunt abdominal trauma. It can induce active hemorrhage and a compressive hematoma leading to bowel ischemia. Emergency laparotomy remains the gold standard treatment. We aimed to study the effectiveness and complications of emb...
journal_title:Cardiovascular and interventional radiology
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doi:10.1007/s00270-015-1266-1
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abstract::The authors describe a simple method using double-coated medical tape to improve adherence between a finger trap suture and a drainage catheter. They have used it on multiple types of catheters without failure. ...
journal_title:Cardiovascular and interventional radiology
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doi:10.1007/BF02577914
更新日期:1986-01-01 00:00:00
abstract::Minimally invasive image-guided insertion of self-expanding metal stents in the upper gastrointestinal tract is the current treatment of choice for palliation of malignant esophageal or gastroduodenal outlet obstructions. A concise review is presented of contemporary stenting practice of the upper gastrointestinal tra...
journal_title:Cardiovascular and interventional radiology
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更新日期:2010-08-01 00:00:00
abstract:PURPOSE:The comparative efficacy of transcatheter arterial chemoembolization (TACE) and percutaneous ethanol injection (PEI) in the treatment of hepatocellular carcinoma (HCC) was investigated. METHODS:Two hundred and sixty consecutive patients were retrospectively analyzed: 156 had received between one and six chemoe...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
doi:10.1007/s002709900104
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abstract::Segmental arterial mediolysis (SAM) is an uncommon self-limited disorder that can cause abdominal catastrophes through massive bleeding or bowel infarction. The former arise from arterial aneurysms, and the latter from arterial stenosis or occlusions. Although this is an acute self-limiting disease, the catastrophic c...
journal_title:Cardiovascular and interventional radiology
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更新日期:2010-06-01 00:00:00
abstract:PURPOSE:To evaluate the effects of neoadjuvant intra-arterial chemotherapy (NAIC) for locally advanced uterine cervical cancer, and to analyze factors influencing the response to the chemotherapy. METHODS:Thirty-four patients with invasive cervical cancer more than 4 cm in diameter were enrolled in this study. NAIC wa...
journal_title:Cardiovascular and interventional radiology
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doi:10.1007/s00270-003-0506-y
更新日期:2003-05-01 00:00:00
abstract::The glycoprotein IIb-IIIa (GPIIb-IIIa) receptor inhibitors have established themselves as first line therapy in the treatment of acute coronary syndromes (ACS) and percutaneous coronary intervention (PCI). The benefit of these agents rests in their ability to attenuate the deleterious effects of platelet activation, b...
journal_title:Cardiovascular and interventional radiology
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abstract:PURPOSE:Contrast-induced nephropathy (CIN) is one of the leading causes of hospital-acquired acute kidney injury due to the use of iodinated contrast media in various interventional procedures like endovascular aneurysm repair. Its pathophysiology remains mostly unclear. The purpose of the present study was to comparat...
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更新日期:2019-12-01 00:00:00
abstract:PURPOSE:To identify whether long-term symptom relief and stent patency vary with the use of covered versus uncovered stents for the treatment of benign SVC obstruction. METHODS AND MATERIALS:We retrospectively identified all patients with benign SVC syndrome treated to stent placement between January 2003 and December...
journal_title:Cardiovascular and interventional radiology
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更新日期:2018-05-01 00:00:00
abstract:PURPOSE:To evaluate diaphragmatic hernias (DH) after percutaneous radiofrequency ablation (PRFA) for basal lung nodules and to detect risk factors. MATERIALS AND METHODS:Between January 2009 and December 2012, the presence of DH was retrospectively recorded in all of the patients who underwent PRFA with multitine expa...
journal_title:Cardiovascular and interventional radiology
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更新日期:2014-12-01 00:00:00
abstract:PURPOSE:The purpose of this study is to accentuate the efficacy of direct stenting (stent placement without predilatation of the lesion) in patients with acute lower limb arterial ischemia (ALLI). MATERIALS AND METHODS:Between January 2010 and September 2015, 16 patients (11 men and 5 women) underwent direct stenting ...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
doi:10.1007/s00270-016-1500-5
更新日期:2017-02-01 00:00:00
abstract::We have implanted more than 100 Strecker stents in the iliac and femoral arteries. In iliac arteries, follow-up is available from 8 to 48 months (mean 20 months) and in peripheral arteries, from 8 to 32 months (mean 19 months). In iliac and proximal femoral arteries there was a patency rate of 98% (mean 20 months afte...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
doi:10.1007/BF02733954
更新日期:1992-09-01 00:00:00
abstract::A 64-year-old female presented with right digital artery emboli from biopsy-proven, angiographically typical, right brachial artery fibromuscular dysplasia (medial fibroplasia). Angiographic findings consistent with fibromuscular dysplasia were also found in the left branchial artery. The patient was treated with surg...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章,评审
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