TIPS 引起的短暂血流动力学不稳定。

Q4 Medicine

Vnitrni lekarstvi Pub Date : 2023-01-01 DOI:10.36290/vnl.2023.053

David Schneider, Vladimír Kojecký

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引用次数: 0

摘要

静脉曲张出血是门静脉高压症的并发症之一，会危及生命。经颈静脉肝内门体分流术（TIPS）适用于药物和内镜治疗失败的情况，即使会出现并发症。支架移位到心脏是一种罕见的情况，可能导致右心腔穿孔或三尖瓣损伤。但在某些情况下，这可能不是问题。取出支架有两种方法：经皮或手术。将支架留在原位也是可行的，尤其是对于多病患者。选择最佳方法通常需要多学科合作。

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Transient hemodynamic instability caused by TIPS.

Variceal bleeding belongs to the one of the complications of portal hypertension and is a life-threatening condition. A transjugular intrahepatic portosystemic shunt (TIPS) is indicated in case of failure of the pharmacological and endoscopic therapy, even if it is associated with complications. Stent migration to the heart, is a rare event which may cause perforation of the right cardiac chambers or damage to the tricuspid valve. However, it may not be a problem in some cases. There are two approaches to extraction - percutaneous or surgical. Leaving the stent in situ is possible, especially in polymorbid patients. Choosing an optimal approach often requires interdisciplinary cooperation.

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来源期刊

Vnitrni lekarstvi Medicine-Internal Medicine

CiteScore

0.50

自引率

0.00%

发文量

104

期刊介绍： Vnitřní lékařství je tiskovým orgánem České internistické společnosti České lékařské společnosti Jana Evangelisty Purkyně a Slovenskej internistickej spoločnosti Slovenskej lekárskej spoločnosti. Je vydáván nepřetržitě od roku 1955. Časopis vychází jako měsíčník, tedy 12krát do roka a podle potřeby jsou v běžném ročníku vydávána jeho suplementa, která jsou obsahově zaměřena k určitému tématu. Tematicky je časopis zaměřen široce na oblast interní medicíny se zvláštní pozorností ke kardiologii, diabetologii a poruchám metabolizmu.