Extracorporeal Portal Decompression Using a Graphite-Benzalkonium-Heparin Shunt
نویسندگان
چکیده
منابع مشابه
Extracorporeal portal decompression using a graphite-benzalkonium-heparin shunt.
TREATMENT of bleeding esophageal varices remains a difficult problem. A significant number of patients with this condition are not suitable for emergency portasystemic venous shunt operations. Recent reports describe the usefulness of dilated umbilical veins in humans as an entry to the portal system for hepatoportography.1 7,8 XWhite,13 Piccone,9 and Christophersen 2 and co-workers used the um...
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We report five patients with variceal hemorrhage, in three cases secondary to diffuse thrombosis of the portal, superior mesenteric and splenic veins. Mesenteric angiography demonstrated patency of the inferior mesenteric vein (IMV) in each, and successful portal decompression by anastomosis of the IMV to the left renal vein (n = 4) or the inferior vena cava (n = 1) was accomplished. Bleeding w...
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A 43-year-old woman with a huge portal-systemic shunt accompanied by myxedema showed slow speech and behavior. Several imaging studies revealed a bold portal-systemic shunt from the splenic vein to the left renal vein. In addition, hypothyroidism caused by chronic thyroiditis was diagnosed, and synthesized thyroxine replacement was effective for the symptoms. However, the serum ammonia and indo...
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The H.E.L.P procedure (heparin-induced extracorporeal LDL precipitation) is a selective and sophisticated apheresis procedure. By means of heparin and lowering the pH level, lipoproteins and fibrinogen are reduced by 50-60%. In addition to lipoprotein (a) reduction (50- 60%) adhesion molecules (ICAM- 1, VCAM-1, P selectin), which play a major role in the development and progression of atheroscl...
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ژورنال
عنوان ژورنال: Annals of Surgery
سال: 1969
ISSN: 0003-4932
DOI: 10.1097/00000658-196902000-00012