Emergency covered stent implantation for portal vein tear during balloon angioplasty in a patient with advanced perihilar cholangiocarcinoma.

IF 1.5 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
Tan-Yang Zhou, Hong-Liang Wang, Guo-Fang Tao, Bin Xiong
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引用次数: 0

Abstract

Portal vein (PV) tear is an uncommon yet potentially fatal complication associated with balloon angioplasty, particularly when treating PV stenosis caused by tumor invasion and compression. This paper presents the case of a 66-year-old male with advanced perihilar cholangiocarcinoma who experienced a PV tear during a bare-metal stent implantation and balloon angioplasty for PV stenosis induced by tumor invasion. Emergency covered stent implantation effectively manages life-threatening intra-abdominal hemorrhage, leading to successful recovery. This case highlights the importance of recognizing PV tears as complications in patients undergoing balloon angioplasty and underscores the efficacy of emergency covered stent implantation in managing such cases. Additionally, this study contributes to the literature by discussing the management strategies and outcomes associated with PV tears during balloon angioplasty.

晚期肝门周围胆管癌患者球囊成形术中门静脉撕裂的急诊覆盖支架植入术。
门静脉撕裂是球囊血管成形术中一种罕见但可能致命的并发症,尤其是在治疗肿瘤侵袭和压迫引起的门静脉狭窄时。本文报告一位66岁男性晚期肝门周围胆管癌患者,因肿瘤侵袭引起的肝门周围胆管狭窄,在裸金属支架植入和球囊成形术中发生了肝门周围胆管撕裂。紧急覆膜支架植入术有效地控制危及生命的腹腔出血,导致成功恢复。本病例强调了在接受球囊血管成形术的患者中认识到PV撕裂是并发症的重要性,并强调了紧急覆膜支架植入术在处理此类病例中的有效性。此外,本研究通过讨论球囊血管成形术中与PV撕裂相关的管理策略和结果,为文献做出了贡献。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Cardiothoracic Surgery
Journal of Cardiothoracic Surgery 医学-心血管系统
CiteScore
2.50
自引率
6.20%
发文量
286
审稿时长
4-8 weeks
期刊介绍: Journal of Cardiothoracic Surgery is an open access journal that encompasses all aspects of research in the field of Cardiology, and Cardiothoracic and Vascular Surgery. The journal publishes original scientific research documenting clinical and experimental advances in cardiac, vascular and thoracic surgery, and related fields. Topics of interest include surgical techniques, survival rates, surgical complications and their outcomes; along with basic sciences, pediatric conditions, transplantations and clinical trials. Journal of Cardiothoracic Surgery is of interest to cardiothoracic and vascular surgeons, cardiothoracic anaesthesiologists, cardiologists, chest physicians, and allied health professionals.
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