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[Complex treatment of complications of liver cirrhosis]
Insights
This study shows that complex endovascular procedures effectively treat complicated cirrhosis. These interventions reduce ascites and lower portal pressure in patients with liver disease.
Area of Science:
- Hepatology
- Vascular Surgery
- Interventional Radiology
Context:
- Cirrhosis of the liver frequently leads to severe complications such as ascites and increased portal pressure.
- Managing these complicated forms of cirrhosis requires advanced therapeutic strategies.
Purpose:
- To evaluate the efficacy of a complex, stepwise endovascular treatment approach for complicated cirrhosis.
- To assess the impact of these interventions on ascites and portal pressure.
Summary:
- The study involved 179 endovascular operations on 87 patients with complicated liver cirrhosis.
- Procedures included embolization of hepatic and splenic arteries, transhepatic embolization of gastric and esophageal veins, and inferior vena cava balloon occlusion.
- Combined with vascular anastomoses and thoracic lymphatic duct operations in select cases, this approach was employed.
Impact:
- The complex, stepwise treatment effectively arrested the ascites syndrome in patients with complicated cirrhosis.
- These endovascular methods significantly lowered portal pressure, indicating improved liver hemodynamics.
Abstract:
The authors have performed 179 endovascular operations in 87 patients with complicated forms of cirrhosis of the liver using different successions of embolisation of the hepatic and splenic arteries, percutaneous transhepatic embolization of the gastric and esophageal veins, balloon occlusion of the vena cava inferior in combination with operations of the root vascular anastomoses (in 10 patients) and operations on the thoracic lymphatic duct. The complex and stepwise treatment of complications of cirrhosis by these methods resulted in an effective arrest of the ascites syndrome and lower portal pressure.