Transient hemodynamic instability caused by TIPS
نویسندگان
چکیده
VarikĂłznĂ krvĂĄcenĂ do gastrointestinĂĄlnĂho traktu jako komplikace portĂĄlnĂ hypertenze je urgentnĂ Ĺživot ohroĹžujĂcĂ stav. Po selhĂĄnĂ farmakologickĂŠ a endoskopickĂŠ lĂŠÄby indikovĂĄno zavedenĂ transjugulĂĄrnĂ intrahepatĂĄlnĂ portosystĂŠmovĂŠ spojky (TIPS), kterĂĄ mĹŻĹže pĹinĂŠst nezanedbatelnĂŠ komplikace. RaritnĂ komplikacĂ migrace srdce s rizikem perforace pravostrannĂ˝ch oddĂlĹŻ Äi poĹĄkozenĂ trikuspidĂĄlnĂ chlopnÄ. V nÄkterĂ˝ch pĹĂpadech vĹĄak nemusĂ zpĹŻsobovat ŞådnĂŠ obtĂĹže. Extrakce moĹžnĂĄ perkutĂĄnnĂ chirurgickou cestou. Alternativou u polymorbidnĂch pacientĹŻ ponechĂĄnĂ migrovanĂŠho stentu v srdci. Volba optimĂĄlnĂho postupu vyĹžaduje mezioborovou spoluprĂĄci.
منابع مشابه
Sultan Muhammad KhwarazmShah's policies and political instability caused by them
In the present study, employing David Saunders's standpoints on political instability and its indicators, political instability at the period of Muhammad KhwarazmShah has been surveyed, based on two basic concepts of changes and challenges. The characteristics of political instability at the period mentioned have been identified in four categories of norm change, change of chief executive offic...
متن کاملHemodynamic stroke caused by strangulation.
We report a case of watershed ischemic stroke in a 36-year-old male secondary to manual strangulation. The patient presented with a right hemiparesis with grade IV motor deficit and an expressive aphasia. Radiological investigation revealed an ischemic stroke on the left distal middle cerebral artery territory and in watershed areas of the left anterior and posterior cerebral arteries. There wa...
متن کاملBudd-Chiari Syndrome Caused by TIPS Malposition: A Case Report
Budd-Chiari syndrome refers to hepatic pathology secondary to diminished venous outflow, most commonly associated with venothrombotic disease. Clinically, patients with Budd-Chiari present with hepatomegaly, ascites, abdominal distension, and pain. On imaging, Budd-Chiari syndrome is hallmarked by occluded IVC and or hepatic veins, caudate lobe enlargement, heterogeneous liver enhancement, intr...
متن کاملHeritable Change Caused by Transient Transcription Errors
Transmission of cellular identity relies on the faithful transfer of information from the mother to the daughter cell. This process includes accurate replication of the DNA, but also the correct propagation of regulatory programs responsible for cellular identity. Errors in DNA replication (mutations) and protein conformation (prions) can trigger stable phenotypic changes and cause human diseas...
متن کاملTransient ischemic attack caused by cerebral ergotism.
Association of protease inhibitors and ergotamine causing systemic ergotism is well established1,2,3. Cerebral ergotism is poorly reported4,5. We describe the case of an HIV positive 49 yo man under protease inhibitors (ritonavir) presenting with total reversible left hemiparesis after the intake of 3 g of ergotamine. After 20 minutes he was spontaneously asymptomatic. TIA was diagnosed. Parenc...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: Vnitr?ni? le?kar?stvi?
سال: 2023
ISSN: ['0042-773X', '1801-7592']
DOI: https://doi.org/10.36290/vnl.2023.053