Traesjugular intrahepatic portosystemic shunt in portai vein thrombosis: Role of the right gastric vein with anomalous insertion |
| |
Authors: | Mario Bezzi MD Laura Broglia Alessandro A Lemos Plinio Rossi |
| |
Institution: | (1) Department of Radiology, III Cattedra, University “La Sapienzu”, Policlinico Umberto I, 00161 Rome, Italy;(2) Via Intieri 10, 00191 Rome, Italy |
| |
Abstract: | Transjugular intrahepatic portosystemic shunt (TIPS) was performed in two patients with portal vein thrombosis. In both patients,
hepatopetal flow had been maintained by an anomalous insertion of the right gastric vein (RGV) into the portal vein bifurcation
and into the left portal branch respectively. In one patient, the main portal trunk could not be recanalized and the RGV was
used as an accessory portal vein to place one stent for TIPS. In the other case, access through the partial portal-vein occlusion
was gained and three stents were placed from the hepatic vein to the main portal vein distal to the thrombus. In portal vein
thrombosis, the aberrant insertion of the RGV into the left or right portal branches may maintain patency of the intrahepatic
portal system and, in case of unsuccessful recanalization of the porta, may represent the sole pathway for placing a TIPS |
| |
Keywords: | Transjugular intrahepatic portosystemic shunt Portal vein thrombosis Right gastric vein |
本文献已被 SpringerLink 等数据库收录! |
|