Intrahepatic Pss: an Interventionalist’s Perspective
نویسنده
چکیده
Key Points: • Percutaneous transjugular coil embolization (PTCE) is a minimally invasive imageguided technique used for the attenuation of intrahepatic portosystemic shunts. • Cross sectional imaging is important for gaining a detailed anatomic understanding of the vascular anomaly. • Fluoroscopic guidance is utilized during the coil embolization procedure which creates a favorable pressure gradient between the portal venous system and the central venous circulation (caudal vena cava) allowing for the development of portal perfusion of the liver. • Further evaluation of the PTCE procedure is needed to optimize the utilization of this technique in the future.
منابع مشابه
Combination therapy using PSE and TIO ameliorates hepatic encephalopathy due to intrahepatic portosystemic venous shunt in idiopathic portal hypertension
A 64-year-old woman treated for anemia and ascites exhibited hepatic encephalopathy. Abdominal ultrasonography and computed tomography (CT) showed communication between the portal vein and the middle hepatic vein, indicating an intrahepatic portosystemic venous shunt (PSS). Since hepatic encephalopathy of the patient was resistant to medical treatment, interventional radiology was performed for...
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