采用再入导管的“自下而上”门静脉再通TIPS （PVR-TIPS）。

IF 1.2 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

CVIR Endovascular Pub Date : 2024-12-23 DOI:10.1186/s42155-024-00510-1

Alexander Loizides, Martin Freund, Heinz Zoller, Benedikt Schäfer

{"title":"采用再入导管的“自下而上”门静脉再通TIPS （PVR-TIPS）。","authors":"Alexander Loizides, Martin Freund, Heinz Zoller, Benedikt Schäfer","doi":"10.1186/s42155-024-00510-1","DOIUrl":null,"url":null,"abstract":"Background: Three patients with portal hypertension and gastrointestinal bleeding due to non-cirrhotic portal vein thrombosis were treated with portal venous recanalization transjugular intrahepatic portosystemic shunt (PVR-TIPS) via a trans-splenic access.Main body: A \"bottoms-up\" retrograde puncture of the right hepatic vein was performed using a re-entry catheter to gain access to the right hepatic vein. In all patients a successful retrograde puncture of the right hepatic vein was achieved, thereby restoring the splenoportal tract.Conclusion: Our cases present an alternative approach to treat chronic portal vein thrombosis expanding the possibilities of the PVR-TIPS procedure.","PeriodicalId":52351,"journal":{"name":"CVIR Endovascular","volume":"7 1","pages":"91"},"PeriodicalIF":1.2000,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11663826/pdf/","citationCount":"0","resultStr":"{\"title\":\"\\\"Bottoms-up\\\" portal venous recanalization TIPS (PVR-TIPS) utilizing a re-entry catheter.\",\"authors\":\"Alexander Loizides, Martin Freund, Heinz Zoller, Benedikt Schäfer\",\"doi\":\"10.1186/s42155-024-00510-1\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Background: Three patients with portal hypertension and gastrointestinal bleeding due to non-cirrhotic portal vein thrombosis were treated with portal venous recanalization transjugular intrahepatic portosystemic shunt (PVR-TIPS) via a trans-splenic access.Main body: A \\\"bottoms-up\\\" retrograde puncture of the right hepatic vein was performed using a re-entry catheter to gain access to the right hepatic vein. In all patients a successful retrograde puncture of the right hepatic vein was achieved, thereby restoring the splenoportal tract.Conclusion: Our cases present an alternative approach to treat chronic portal vein thrombosis expanding the possibilities of the PVR-TIPS procedure.\",\"PeriodicalId\":52351,\"journal\":{\"name\":\"CVIR Endovascular\",\"volume\":\"7 1\",\"pages\":\"91\"},\"PeriodicalIF\":1.2000,\"publicationDate\":\"2024-12-23\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11663826/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"CVIR Endovascular\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1186/s42155-024-00510-1\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"CARDIAC & CARDIOVASCULAR SYSTEMS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"CVIR Endovascular","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1186/s42155-024-00510-1","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}

引用次数: 0

摘要

背景：我们对3例因非肝硬化门静脉血栓形成而导致的门静脉高压和胃肠道出血患者进行了经脾门静脉再通经颈静脉肝内门静脉系统分流术（pvrtips）的治疗。主体：右肝静脉行“自下而上”逆行穿刺，采用再入导管进入右肝静脉。所有患者均成功逆行穿刺右肝静脉，从而恢复脾门静脉束。结论：我们的病例提供了治疗慢性门静脉血栓形成的另一种方法，扩大了PVR-TIPS手术的可能性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

"Bottoms-up" portal venous recanalization TIPS (PVR-TIPS) utilizing a re-entry catheter.

Background: Three patients with portal hypertension and gastrointestinal bleeding due to non-cirrhotic portal vein thrombosis were treated with portal venous recanalization transjugular intrahepatic portosystemic shunt (PVR-TIPS) via a trans-splenic access.

Main body: A "bottoms-up" retrograde puncture of the right hepatic vein was performed using a re-entry catheter to gain access to the right hepatic vein. In all patients a successful retrograde puncture of the right hepatic vein was achieved, thereby restoring the splenoportal tract.

Conclusion: Our cases present an alternative approach to treat chronic portal vein thrombosis expanding the possibilities of the PVR-TIPS procedure.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

CVIR Endovascular Medicine-Radiology, Nuclear Medicine and Imaging

CiteScore

2.30

自引率

0.00%

发文量