• We retrospectively evaluated the long-term effects of partial splenic embolization (PSE) with transarterial chemoembolization (TACE) in patients with HCC patients accompanied by thrombocytopenia. (hindawi.com)
  • Over the past 20 years, partial splenic embolization (PSE) has been an interventional radiological treatment for thrombocytopenia due to hypersplenism [ 3 , 4 ]. (hindawi.com)
  • 15 Matsukiyo Y Nagai H Matsui T et a1 Host immunological effects of partial splenic embolization in patients with liver cirrhosis J ݣ J Immunol Res 2018 2018 1746391. (paperonce.org)
  • Portal pressure changes after partial splenic embolization comparison study between two embolization methods[J].journal interventional radiology,2014,(09):861. (paperonce.org)
  • Additionally, complete lobar portal vein occlusion of either lobe would preclude expected increases in FLR from PVE due to already existing diversion of portal flow. (wikipedia.org)
  • Occlusion occurs as a result of coil-induced thrombosis rather than mechanical occlusion of the lumen by the coil. (medscape.com)
  • Additionally, when proximal occlusion occurs with coil embolization, repeat intervention via the same artery becomes difficult, if not impossible. (medscape.com)
  • In the EUS group, the perforating veins had an average diameter of 7.0 ± 2.7 mm, and they had a 100% occlusion rate. (bvsalud.org)
  • Portal vein thrombosis (PVT) is a well-recognized complication in patients with cirrhosis and frequently requires a nuanced approach to treatment. (amjcaserep.com)
  • A 31-year-old man with a past medical history of portal hypertension, refractory ascites, gastroesophageal varices, and decompensated cirrhosis secondary to alcohol abuse had previously undergone an unsuccessful TIPS placement. (amjcaserep.com)
  • Case report: We report a year-old woman with C gastric cancer follow up - related cirrhosis, hepatocellular carcinoma and central severe arterioportal shunt, presenting with upper digestive tract hemorrhage and refractory ascites, treated by embolization of the shunt and trans catheter arterial embolization of the tumor. (adventube.ro)
  • Median age was 64 years, PS 0 (69%) or 1 (31%), 63% patients had cirrhosis, 29% portal vein thrombosis and 70% extra-hepatic disease. (nature.com)
  • Spleen- associated effects on immunity in hepatitis B virus- related cirrhosis with portal hypertension J . J Interferon Cytokine Res 2019 39 95- 105. (paperonce.org)
  • P- selectin level at first and third day after portal hypertensive splenectomy for early prediction of portal vein thrombosis in patients with cirrhosis J . Clin Appl Thromb Hemost 2018 24 9_Suppl 76S- 83S. (paperonce.org)
  • The establishment of liver cirrhosis along with portal hypertension model in experimental pigs by using interventional technique[J].journal interventional radiology,2012,(09):756. (paperonce.org)
  • 1 - 3 As portal pressure determines the outcomes of bleeding and development of complications (decompensation: ascites, hepatic encephalopathy [HE]) in patients with cirrhosis, bleeding in esophageal varices (EV) is relatively proportional to portal pressure. (e-ce.org)
  • The most common cause is portal hypertension, often associated with liver cirrhosis. (thebloodproject.com)
  • UCSF Interventional Radiology Review , with case-based lectures and in-depth discussions, covers a plethora of topics including updates on MR angiography, vein mapping and interpretation, renal ablation, portal vein embolization, biliary interventions, stroke interventions, etc. (medicalbooksvn.com)
  • Trans catheter arterial embolization for advanced tumor thrombus with marked arterioportal or arteriovenous shunt complicating hepatocellular carcinoma. (adventube.ro)
  • 34 Suppl 2 : S Hepatocellular cancer portal vein thrombosis outcomes of symptomatic arterioportal fistulas after transcatheter arterial embolization. (adventube.ro)
  • Arterial embolization, Pulmonary Embolism and Venous Intervention, Dialysis Intervention, Pain Intervention, Vertebral Augmentation, Interventional Oncology (therapies including y-90 and TACE embolization as well as thermal ablative technologies), Women's Health Intervention and Peripheral Arterial disease. (vipphysiciansmemphis.com)
  • The image demonstrates the typical rounded tardus parvus waveform morphology, which is indicative of upstream arterial thrombosis or severe stenosis. (medscape.com)
  • thrombosis of the arterial graft (single arrow). (medscape.com)
  • If the chest is to be studied, images are obtained in the arterial phase of contrast enhancement, followed by a pause sufficiently long to image the abdomen and pelvis in the late arterial or early portal venous phase. (radiologykey.com)
  • Severe adverse events, including acute liver failure and portal vein thrombus, were observed in two patients. (hindawi.com)
  • Hepatocellular carcinoma with portal vein tumor thrombus: embolization of arterioportal shunts. (adventube.ro)
  • Transjugular portography demonstrates extensive portal vein thrombus in the whole-liver allograft of a 40-year-old woman whose clinical condition rapidly deteriorated on postoperative day 39. (medscape.com)
  • [ 4 ] Splenic embolization may result from various cardiovascular conditions, including a left atrial or ventricular mural thrombus that formed as a result of acute myocardial infarction or atrial fibrillation or developed from complications of cardiac catheterization or bacterial endocarditis. (medscape.com)
  • Percutaneous transcatheter treatment of patients with deep venous thrombosis (DVT) consists of thrombus removal with catheter-directed thrombolysis, mechanical thrombectomy, angioplasty, and/or stenting of venous obstructions. (medscape.com)
  • The formation or presence of a blood clot (THROMBUS) within a vein. (lookformedical.com)
  • Microcoils (platinum coils) can be delivered through microcatheters (2.2-3.5F). They can be particularly useful when superselective coil embolization is required. (medscape.com)
  • Collateralization is a potential disadvantage of coil embolization, and it can result in the persistence of flow into the vascular territory of the vessel that was embolized with the coil. (medscape.com)
  • Secondary endpoints were the best response rate based on the Response Evaluation Criteria in Solid Tumors v1.1, local control rate, portal vein (PV) patency rate, and median OS. (e-roj.org)
  • Portal vein tumor thrombosis (PVTT) is a common complication of tumors involving the liver, occurring in about 40%-60% of cases of hepatocellular carcinoma (HCC) [ 1 ]. (e-roj.org)
  • This department provides medical care for patients with acute and chronic kidney diseases, kidney failure, dysfunction and tumors of endocrine organs, and hypertension. (japanhospitalsearch.org)
  • Transjugular intrahepatic portosystemic shunt (TIPS) offers an effective treatment for patients with complications of portal hypertension, specifically prevention of variceal rebleeding and recurrent or refractory ascites. (emjreviews.com)
  • Main complications include clinical manifestations of portal hypertension (ascites and varices) as well as consequences of liver insufficiency as hepatic encephalopathy. (bvsalud.org)
  • Preprocedural imaging demonstrated a cirrhotic liver, splenomegaly, and gastroesophageal varices compatible with portal hypertension. (amjcaserep.com)
  • We report a case of chronic PVT and main portal vein reconstruction in the presence of a massive coronary vein and actively bleeding gastroesophageal varices. (amjcaserep.com)
  • Another mechanical cause of splenic infarct can be the injection of gastric varices in the setting of portal hypertension and gastric variceal bleeding. (medscape.com)
  • Portal Vein Thrombosis Portal vein thrombosis causes portal hypertension and consequent gastrointestinal bleeding from varices, usually in the lower esophagus or stomach. (msdmanuals.com)
  • PURPOSE OF REVIEW: Gastric varices (GV) are an important complication of portal hypertension, and the current recommendation for management is beta-blocker therapy for primary prophylaxis and transjugular intrahepatic portosystemic shunt (TIPS) for active bleeding or secondary prophylaxis. (keyopinionleaders.com)
  • Portal vein embolization (PVE) is a preoperative procedure performed in interventional radiology to initiate hypertrophy of the anticipated future liver remnant a couple weeks prior to a major liver resection procedure. (wikipedia.org)
  • FAN Hui,WANG Fubing,DING Jiangtao,et al.The effect of partial splenic artery embolization combined with thymopentin on the cellular immunity and liver fibrosis in patients with post-hepatitis B cirrhotic hypersplenism[J].journal interventional radiology,2023,32(09):905-908. (paperonce.org)
  • LI Song- wei,ZHANG Jie,YAN Dong,et al.The preoperative application of MSCT and MSCTP in performing TIPS combined with gastric coronary vein embolization[J].journal interventional radiology,2015,(09):476. (paperonce.org)
  • Complication rates from the procedure are low as well (2-3 percent) and include portal vein thrombosis, liver infarction, necrosis, infection, pneumothorax, and other risks as listed above. (wikipedia.org)
  • Transjugular intrahepatic portosystemic shunt combined with Amplatzer plugging device therapy for cirrhotic portal hypertension with spontaneous spleno? (paperonce.org)
  • As such, procedures which decrease portal pressure (e.g., transjugular intrahepatic portosystemic shunt [TIPS]) without any combination are unsatisfactory in GV. (e-ce.org)
  • A compression of ILIAC VEIN that results in a decreased flow in the vein and in the left LOWER EXTREMITY due to a vascular malformation. (lookformedical.com)
  • For nontraumatic abdominal emergencies, ultrasound is used to investigate biliary colic, pelvic pain in women, scrotal pathology in men, suspected appendicitis or intussusception in children, and lower-extremity deep venous thrombosis. (radiologykey.com)
  • Abdul Khan, MD, discusses a recently published AJR article in which investigators compare the safety and efficacy of large or symptomatic AML embolization with a combination of LBE and NBCA-lipiodol emulsion vs PVA particles. (arrs.org)
  • Angiographic demonstration of intrahepatic arterio-portal anastomoses in hepatocellular carcinoma. (adventube.ro)
  • Axial CT image through the upper part of the neck after percutaneous cyanoacrylate embolization. (medscape.com)
  • Restoration of flow through the occluded segment of the main portal vein and cessation of variceal bleeding was successfully resolved through the combination of portal vein reconstruction and massive volume embolization of the large coronary vein using a direct, percutaneous approach. (amjcaserep.com)
  • A direct, percutaneous approach to main portal vein reconstruction and massive volume embolization after a previously failed TIPS may be a potential alternative approach for select patients. (amjcaserep.com)
  • Nakazawa T, Watanabe Y, Hori Y, Kiso K, Higashi M, Itoh T, Naito H. Lung perfused blood volume images with dual-energy computed tomography for chronic thromboembolic pulmonary hypertension: correlation to scintigraphy with single-photon emission computed tomography. (radiol-osaka-u.com)
  • The procedure involves injecting the right or left portal vein with embolic material to occlude portal blood flow. (wikipedia.org)
  • Angiomyolipoma embolization may be performed with a variety of embolic agents. (arrs.org)
  • Embolization of the shunt is the first option to reduce the pressure in the portal system and to ensure the endovascular treatment of the tumor. (adventube.ro)
  • Portal vein tumor thrombosis (PVTT) from cancer involving the liver carries a dismal prognosis, with median overall survival (OS) ranging from 2 to 5 months. (e-roj.org)
  • 5: Transarterial embolization with cyanoacrylate for severe arterioportal shunt complicated by hepatocellular carcinoma. (adventube.ro)
  • There is a paucity of existing literature and evidence-based recommendations regarding the optimal treatment approach to chronically occluded portal veins. (amjcaserep.com)
  • Treatment of portal hypertension focusses on preventing or managing complications and, at first-line, is dependent largely on pharmacological approaches, which include non-selective beta-blockers (NSBB). (emjreviews.com)
  • Treatment of secondary complications after aneurysm therapy (embolization in endoleakage, vascular recanalization, etc. (bookinghealth.com)
  • Implantation of transjugular portosystemic shunts for the treatment of portal hypertension, etc. (bookinghealth.com)
  • Therefore, treatment for EV is focused on lowering portal pressure. (e-ce.org)
  • 10-12 mmHg), which is why targeting the portal pressure is insufficient in the treatment of GV bleeding. (e-ce.org)
  • All patients with AVB should undergo abdominal imaging, preferably contrast-enhanced cross-sectional imaging (CT or MRI) to exclude splanchnic vein thrombosis, HCC and to map portosystemic collaterals in order to guide treatment. (thesecretsofmedicine.com)
  • Conclusions: Hepatocellular carcinoma with central severe arterioportal shunt is a challenging clinical situation, whose prognosis is influenced mainly by portal hypertension. (adventube.ro)
  • Capability of multidetector CT to hepatocellular cancer portal vein thrombosis hepatocellular carcinoma-associated arterioportal shunt. (adventube.ro)
  • Embolization of hepatic arteriovenous shunt with absolute ethanol in a patient with hepatocellular carcinoma. (adventube.ro)
  • Safety and efficacy of 90Y radiotherapy for hepatocellular carcinoma with and without portal vein thrombosis. (genderi.org)
  • This department provides medical care for patients with heart disorders, disorders of the aortas and peripheral vessels, and hypertension. (japanhospitalsearch.org)
  • 1 , 2 GV can also be present in patients without intra-hepatic portal hypertension, as seen in left sided portal hypertension, which include pancreatitis (acute or chronic), pancreatic malignancy, myeloproliferateive disorders (polycythemia vera, essential thrombocytosis), or in certain hereditary disorders. (e-ce.org)
  • Liver stiffness measured with transient elastography is one of the most studied noninvasive markers of portal hypertension, and spleen elastography has recently emerged as an important adjuvant tool. (bvsalud.org)
  • The development of a new probe (100 Hz) that more reliably reflect the grade of portal hypertension evaluated by spleen stiffness measurement has improved the accuracy of this technique. (bvsalud.org)
  • The deep veins are patent but appear to be displaced by the vascular malformation. (medscape.com)
  • Portal hypertension is an absolute contraindication, as these patients are not surgical candidates and are at higher risk of significant complications from PVE. (wikipedia.org)
  • This review focusses on the optimisation of the use of a covered TIPS endoprosthesis in patients with portal hypertension-related complications, with consideration of evolving practices, patient selection, and multidisciplinary co-operation. (emjreviews.com)