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[Endovascular diagnosis and transcatheter procedures in portal hypertension]
Insights
This study analyzed endovascular interventions in 113 portal hypertension patients. A systematic approach to endovascular treatment was developed based on detailed hemodynamic and angioarchitectonic assessments.
Area of Science:
- Interventional Radiology
- Vascular Surgery
- Hepatology
Context:
- Portal hypertension presents complex challenges in diagnosis and treatment.
- Endovascular techniques offer minimally invasive options for managing portal hypertension.
- Understanding hepato-lienal angioarchitectonics and portal-hepatic hemodynamics is crucial.
Purpose:
- To analyze the outcomes of endovascular diagnosis and transcatheter surgery in portal hypertension.
- To investigate the arteriovenous angioarchitectonics and hemodynamics in the hepato-lienal system.
- To develop a systematic, stage-by-stage endovascular treatment protocol for portal hypertension.
Summary:
- 113 patients with portal hypertension underwent 761 diagnostic and 194 therapeutic radiologically-guided endovascular interventions.
- Detailed analysis of angioarchitectonics, portal-hepatic hemodynamics, and collateral circulation was performed.
- A structured system for stage-by-stage endovascular management of portal hypertension was established.
Impact:
- Provides a systematic framework for endovascular treatment of portal hypertension.
- Enhances understanding of hemodynamics and angioarchitectonics in portal hypertension.
- Offers insights into the efficacy of radiologically-guided interventions for portal hypertension management.
Abstract:
The results of endovascular diagnosis and transcatheter surgery in 113 patients with various forms and stages of portal hypertension are analysed. A total of 761 diagnostic and 194 therapeutic radiologically-guided endovascular interventions were carried out. Purposeful study of the arteriovenous angioarchitectonics in the hepato-lienal system, the character and degree of disorders of the portal-hepatic hemodynamics, and the peculiar features of collateral circulation before and after various radiologically-guided interventions allowed the authors to elaborate an orderly system of stage-by-stage endovascular treatment of patients suffering from portal hypertension.