AI Article Synopsis
- - Three patients with severe variceal bleeding due to portal vein thrombosis were treated using a transsplenic endovascular approach, which is an innovative technique for this condition.
- - Each patient had successful recanalization of the portal/splenic vein, and some received additional treatments like TIPS and variceal embolization using standard methods.
- - This transsplenic method could be particularly beneficial for patients who can't be treated with traditional endoscopic or surgical methods, but further studies are needed to see how well these outcomes hold up over time.
Article Abstract
Three patients with life-threatening variceal hemorrhage secondary to portal vein (PV) thrombosis underwent endovascular treatment via the transsplenic route. The indications, techniques, and early outcomes are described. Each patient had successful portal/splenic vein recanalization with or without transjugular intrahepatic portosystemic shunt (TIPS) creation and variceal embolization with conventional catheter and wire techniques. The transsplenic approach is a useful addition to the interventional armamentarium that can be used in cases refractory to endoscopic management and unsuitable for surgical shunt procedures or conventional TIPS procedures. Longer-term follow-up will be needed to establish the durability of these procedures.
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| http://dx.doi.org/10.1016/j.jvir.2007.08.009 | DOI Listing |
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