Percutaneous transjugular direct porto-caval shunt in patients with Budd-Chiari syndrome.


: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.


Quateen A,Pech M,Berg T,Bergk A,Podrabsky P,Felix R,Ricke J




Has Abstract


2006-07-01 00:00:00












  • Pulmonary artery aneurysm presenting as a peripheral coin lesion--the danger of needle biopsy.

    abstract::A peripheral pulmonary artery aneurysm appeared as a solitary, smooth and discrete coin lesion in the lung. The aneurysm was surgically resected. Various etiologies possibly responsible for this entity are discussed. The complications of transthoracic needle aspiration biopsy are reviewed, with emphasis on the hazards...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章


    authors: Eisenberg D,Gordon RL,Weineman EE,Romanoff H

    更新日期:1984-01-01 00:00:00

  • The renal impact of aortic stent-grafting in patients with a horseshoe kidney.

    abstract::Aortic stent grafting may be an alternative to surgery for patients with an abdominal aortic aneurysm and coexistent horseshoe kidney but is not without difficulties. This study examines the renal consequences of aortic stent grafting in such patients. This is a retrospective review of patients with horseshoe kidney i...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章


    authors: Jackson RW,Fay DM,Wyatt MG,Rose JD

    更新日期:2004-11-01 00:00:00

  • Transarterial chemoembolization of unresectable hepatocellular carcinoma with drug eluting beads: results of an open-label study of 62 patients.

    abstract::The purpose of this study was to assess the safety and efficacy of doxorubicin-loaded beads (DC Beads) delivered by transarterial embolization for the treatment of unresectable hepatocellular carcinoma (HCC). This open-label, single-center, single-arm study included 62 cirrhotic patients with documented single unresec...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章


    authors: Malagari K,Chatzimichael K,Alexopoulou E,Kelekis A,Hall B,Dourakis S,Delis S,Gouliamos A,Kelekis D

    更新日期:2008-03-01 00:00:00

  • Midterm results of uterine artery embolization using narrow-size calibrated embozene microspheres.

    abstract:PURPOSE:To evaluate safety and efficacy of uterine artery embolization using narrow-size-range polyphosphazene-coated hydrogel microspheres (Embozene, CeloNova Biosciences, Newnan, GA). METHODS:Between May 2006 and September 2008, a total of 121 consecutive patients (mean ± SD age 42.1 ± 5.4 years, range 30.5-51.5 yea...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章


    authors: Stampfl U,Radeleff B,Sommer C,Stampfl S,Dahlke A,Bellemann N,Kauczor HU,Richter GM

    更新日期:2011-04-01 00:00:00

  • Embolization of incompetent pelvic veins for the treatment of recurrent varicose veins in lower limbs and pelvic congestion syndrome.

    abstract:PURPOSE:We present our experience with embolization of incompetent pelvic veins (IPV) in women with recurrence of varicose veins (VV) in lower limbs, as well as symptoms of pelvic congestion syndrome (PCS), after first surgery. In addition, we evaluated the effects of embolization in decreasing the symptoms of VV befor...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章


    authors: Meneses L,Fava M,Diaz P,Andía M,Tejos C,Irarrazaval P,Uribe S

    更新日期:2013-02-01 00:00:00

  • A Prospective Clinical Study of a Percutaneous Vascular Access System for Hemodialysis Catheters.

    abstract:INTRODUCTION:Dysfunctional or infected hemodialysis polyester-cuffed catheters often require removal and are dissected out. The DermaPort™, percutaneous vascular access system (PVAS) permanently integrates a titanium mesh with the skin forming a stable, sterile barrier that allows for catheter placement, adjustment, or...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章


    authors: Rajan DK,Moran B,Lobl TJ,Asch MR,Steele AW,Lok CE

    更新日期:2018-10-01 00:00:00

  • Endovascular coil embolization in a postnephrostomy renal vein to renal pelvis fistula.

    abstract::We report the case of a 74-year-old man with post-percutaneous-nephrostomy venous hemorrhage from an iatrogenic fistula between the renal pelvis and a large tributary of the renal vein. Conservative management failed to contain the hemorrhage. Hence the fistula was occluded by coil embolization through the renal vein....

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章


    authors: Anil G,Taneja M

    更新日期:2011-02-01 00:00:00

  • Complications of lower-limb percutaneous transluminal angioplasty: a prospective analysis of 410 procedures on 295 consecutive patients.

    abstract:PURPOSE:To evaluate complications and their predictors in percutaneous transluminal angioplasty (PTA) of lower-limb arteries. METHODS:Complications in 410 angioplasty procedures in 295 consecutive patients (192 claudicants and 103 suffering from chronic critical ischemia) were prospectively analyzed. RESULTS:The tota...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 临床试验,杂志文章


    authors: Matsi PJ,Manninen HI

    更新日期:1998-09-01 00:00:00

  • Perigraft Plug Embolization of the Internal Iliac Artery and Implantation of a Bifurcated Stentgraft: One Treatment Option for Insufficient Tubular Stentgraft Repair of a Common Iliac Artery Aneurysm.

    abstract::We report an endovascular technique for the treatment of type Ia endoleak after a plain tubular stentgraft had been implanted for a large common iliac artery aneurysm with an insufficient proximal landing zone and without occlusion of the hypogastric in another hospital. CT follow-up showed an endoleak with continuous...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章


    authors: Goltz JP,Loesaus J,Frydrychowicz A,Barkhausen J,Wiedner M

    更新日期:2016-02-01 00:00:00

  • Malignant Hilar Biliary Obstruction: Treatment by Means of Placement of a Newly Designed Y-Shaped Branched Covered Stent.

    abstract:PURPOSE:To evaluate the technical feasibility and clinical efficacy of placement of a newly designed Y-shaped branched covered stent for palliative treatment of malignant hilar biliary obstruction. METHODS:From June 2011 to September 2014, 34 consecutive patients with malignant hilar biliary obstruction underwent perc...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章


    authors: Yun JH,Jung GS,Park JG,Kang BC,Shin DH,Yun BC,Lee SU

    更新日期:2016-04-01 00:00:00

  • Use of a reperfusion catheter after angioplasty dissection for salvage of ischemic renal allograft: case report.

    abstract::Percutaneous transluminal angioplasty was performed on a right common iliac artery stenosis presumed to be causing renovascular hypertension in a patient with a renal allograft anastomosis to the right external iliac artery. This was complicated by an obstructive dissection resulting in acute threatening renal allogra...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章


    authors: Kim D,Porter DH,Siegel JB,Shapiro ME,Strom TB,Glotzer DJ

    更新日期:1991-05-01 00:00:00

  • Coronal acetabular fractures: the anterior approach in computed tomography-navigated minimally invasive percutaneous fixation.

    abstract:PURPOSE:To demonstrate the technical feasibility of the anterior approach to the coronal roof component of carefully selected acetabular fractures in computed tomography (CT)-navigated closed reduction and percutaneous fixation (CRPF). METHODS:Four patients with nondisplaced or slightly displaced coronal fractures of ...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章


    authors: Jacob AL,Suhm N,Kaim A,Regazzoni P,Steinbrich W,Messmer P

    更新日期:2000-09-01 00:00:00

  • Spiral CT during selective accessory renal artery angiography: assessment of vascular territory before aortic stent-grafting.

    abstract::We evaluated the vascular territory of accessory renal arteries in cases where the vessel might be overlapped by an aortic stent-graft. Spiral CT during selective accessory renal artery angiography was performed in four patients with abdominal aortic aneurysms (including one with a horseshoe kidney). The volume of the...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章


    authors: Dorffner R,Thurnher S,Prokesch R,Youssefzadeh S,Hölzenbein T,Lammer J

    更新日期:1998-03-01 00:00:00

  • Nitinol esophageal stents: new designs and clinical indications.

    abstract:PURPOSE:To evaluate the clinical use of covered and noncovered, knitted nitinol stents in patients presenting new stent indications. METHODS:Self-expandable, knitted nitinol stents were implanted in four patients for treatment of dysphagia. In two patients who had malignant strictures and had esophago-respiratory fist...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章


    authors: Strecker EP,Boos I,Vetter S,Strohm M,Domschke S

    更新日期:1996-01-01 00:00:00

  • Impact and Effectiveness of Dual Aspiration Technique in Stent-Assisted Mechanical Thrombectomy: Recent Improvements in Acute Stroke Management.

    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

    pub_type: 杂志文章


    authors: Hopf-Jensen S,Preiß M,Marques L,Lehrke S,Schattschneider J,Stolze H,Müller-Hülsbeck S

    更新日期:2016-11-01 00:00:00

  • Patient Evaluation and Preparation in Vascular and Interventional Radiology: What Every Interventional Radiologist Should Know (Part 1: Patient Assessment and Laboratory Tests).

    abstract::Performing an interventional procedure imposes a commitment on interventional radiologists to conduct the initial patient assessment, determine the best course of therapy, and provide long-term care after the procedure is completed. After patient referral, contact with the referring physician and multidisciplinary tea...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章,评审


    authors: Taslakian B,Georges Sebaaly M,Al-Kutoubi A

    更新日期:2016-03-01 00:00:00

  • Deriving the intrahepatic arteriovenous shunt rate from CT images and biochemical data instead of from arterial perfusion scintigraphy in hepatic arterial infusion chemotherapy.

    abstract::The purpose of the present study was to elucidate a method for predicting the intrahepatic arteriovenous shunt rate from computed tomography (CT) images and biochemical data, instead of from arterial perfusion scintigraphy, because adverse exacerbated systemic effects may be induced in cases where a high shunt rate ex...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章


    authors: Ozaki T,Seki H,Shiina M

    更新日期:2009-09-01 00:00:00

  • The use of color-coded duplex scanning in the selection of patients with lower extremity arterial disease for percutaneous transluminal angioplasty: a prospective study.

    abstract:PURPOSE:To exploit the potential benefits of percutaneous transluminal angioplasty (PTA) in patients with short obstructive lesions in the lower extremity, it is preferable to select patients suitable for PTA before proceeding to hospital admission and angiography. The aim of this prospective study was to evaluate the ...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章


    authors: Elsman BH,Legemate DA,van der Heyden FW,de Vos H,Mali WP,Eikelboom BC

    更新日期:1996-09-01 00:00:00

  • Retroperitoneal extraskeletal osteosarcoma: imaging findings and transarterial chemoembolization.

    abstract::Extraskeletal osteosarcoma (EOS) is an uncommon and usually highly aggressive mesenchymal tumor. Retroperitoneal extraskeletal osteosarma (REOS) is exceedingly rare. Due to the rare nature of the disease, both the diagnosis and the management of REOS can be challenging. We present the clinical history, CT findings, an...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章


    authors: Zhang HJ,Yang JJ,Lu JP,Sheng J,Yuan M,Jiang X,Li YX,Gupta S

    更新日期:2010-04-01 00:00:00

  • Application of Percutaneous Osteoplasty in Treating Pelvic Bone Metastases: Efficacy and Safety.

    abstract:BACKGROUND:Percutaneous vertebroplasty has been a good option to treat vertebral metastases. The pelvic bone is a common site of spread for many cancers. Using follow-up data for 126 patients, we evaluated the safety and efficacy of percutaneous osteoplasty (POP) to treat pelvic bone metastases. MATERIALS AND METHODS:...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章


    authors: Liu HF,Wu CG,Tian QH,Wang T,Yi F

    更新日期:2019-12-01 00:00:00

  • Break-dance: an unusual cause of hammer syndrome.

    abstract::We report the case of a young break-dancer presenting with hammer syndrome. This syndrome has been correlated with many professional and recreational activities but this is, to our knowledge, the first description of hammer syndrome caused by break-dancing. The etiology, diagnosis and treatment modalities of this rare...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章


    authors: Schneider F,Milesi I,Haesler E,Wicky S,Schnyder P,Denys A

    更新日期:2002-07-01 00:00:00

  • Arteriographic study of variant arterial anatomy of the upper extremities.

    abstract::Anatomic variations in the major arteries of the upper extremities have been reported in 11-24.4% of individuals. In a review of 100 upper extremity arteriograms, we found an overall incidence of 9%. High origin of the radial artery from the brachial artery was the most frequently encountered anomaly occurring in 7% o...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章


    authors: Uglietta JP,Kadir S

    更新日期:1989-05-01 00:00:00

  • Long-Term Outcomes of Balloon-Occluded Retrograde Transvenous Obliteration for the Treatment of Gastric Varices: A Comparison of Ethanolamine Oleate and Sodium Tetradecyl Sulfate.

    abstract:PURPOSE:This study was performed to compare the long-term outcomes of balloon-occluded retrograde transvenous obliteration (BRTO) for gastric varices using ethanolamine oleate (EO) and sodium tetradecyl sulfate (STS). METHODS:From January 2002 to June 2015, 142 patients underwent BRTO for the treatment of gastric vari...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章


    authors: Chu HH,Kim M,Kim HC,Lee JH,Jae HJ,Chung JW

    更新日期:2018-04-01 00:00:00

  • Fatal intraventricular hemorrhage after the extracranial carotid artery angioplasty and stent placement.

    abstract::We report on a 72-year-old female with an unusual intracranial bleeding complication after an extracranial carotid artery stenting procedure performed for a tight left ICA stenosis associated with contralateral carotid occlusion. Two hours after the procedure, the initial signs of intracranial bleeding appeared that l...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章


    authors: Krajickova D,Krajina A,Nova M,Raupach J

    更新日期:2005-07-01 00:00:00

  • Transcatheter treatment of life-threatening lower gastrointestinal bleeding due to advanced pelvic malignancy.

    abstract::We present two patients with life-threatening, massive, lower gastrointestinal (GI) bleeding and locally advanced cervical carcinoma. Selective pelvic arteriography demonstrated that the site of bleeding originated from a pseudoaneurysm of the right internal iliac artery with fistulous communication to the sigmoid col...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章


    authors: Spinosa DJ,Angle JF,McGraw JK,Maurer EJ,Hagspiel KD,Matsumoto AH

    更新日期:1998-11-01 00:00:00

  • Multi-site interventional real-time procedure demonstrations with the use of integrated services digital network connections.

    abstract:PURPOSE:To evaluate the effectiveness and cost of commercially available video conferencing units and standard Integrated Services Digital Network (ISDN) connections for real-time multi-site transmissions of interventional procedures. METHODS:A network of five separate interventional radiology departments-three in the...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章


    authors: Hájek M,Rösch J,Uchida BT,Keller FS,Peregrin J,Svarz R,Válek J,Köcher M,Krajina A,Hausegger K,Simonic K

    更新日期:2001-09-01 00:00:00

  • Emergency endovascular treatment of abdominal aortic aneurysms: feasibility and results.

    abstract:PURPOSE:To assess the feasibility and effectiveness of emergency endovascular treatment of abdominal aortic aneurysms (AAAs). METHODS:During 36 months we treated, on an emergency basis, 30 AAAs with endovascular exclusion. In 21 hemodynamically stable patients preoperative CT angiography (CTA) was performed to confirm...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章


    authors: Laganà D,Carrafiello G,Mangini M,Fontana F,Caronno R,Castelli P,Cuffari S,Fugazzola C

    更新日期:2006-03-01 00:00:00

  • Radial artery approach to salvage nonmaturing radiocephalic arteriovenous fistulas.

    abstract:PURPOSE:To evaluate the usefulness of an approach through the radial artery distal to the arteriovenous anastomosis for salvaging nonmaturing radiocephalic arteriovenous fistulas. METHODS:Procedures that fulfilled the following criteria were retrospectively reviewed: (1) autogenous radiocephalic fistulas, (2) fistulas...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章


    authors: Hsieh MY,Lin L,Tsai KC,Wu CC

    更新日期:2013-08-01 00:00:00

  • Successful embolization of a spontaneous mesocaval shunt using the Amplatzer Vascular Plug II.

    abstract::A 48-year-old man with alcoholic liver cirrhosis and hepatic encephalopathy was found to have a large, spontaneous mesocaval shunt. The shunt was successfully occluded with the use of an Amplatzer Vascular Plug. To our knowledge, this is the first report of the use of this device to embolize a mesocaval shunt involvin...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章


    authors: Boixadera H,Tomasello A,Quiroga S,Cordoba J,Perez M,Segarra A

    更新日期:2010-10-01 00:00:00

  • Effective segmental chemoembolization of advanced hepatocellular carcinoma with tumor thrombus in the portal vein.

    abstract:PURPOSE:Evaluate therapeutic results of transcatheter segmental hepatic artery chemo-oily-embolization (segmental TAE) against advanced hepatocellular carcinomas (HCC) accompanied by portal tumor thrombus (PTT). METHODS:Segmental TAE was performed in nine patients with hepatic cirrhosis and advanced HCCs accompanied b...

    journal_title:Cardiovascular and interventional radiology

    pub_type: 杂志文章


    authors: Katsumori T,Fujita M,Takahashi T,Satoh O,Ichijima S,Nakamura T,Morishita H,Ohno K,Nakano Y,Maeda T

    更新日期:1995-07-01 00:00:00