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Related Concept Videos

Venous Thrombosis I: Introduction01:30

Venous Thrombosis I: Introduction

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Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
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Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies01:20

Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies

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The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
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Esophageal Varices-I: Introduction01:24

Esophageal Varices-I: Introduction

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Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
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Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

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Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
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Varicose Veins I: Introduction01:26

Varicose Veins I: Introduction

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Varicose veins, or varicosities, are abnormally dilated and twisted superficial veins caused by venous valve incompetence. This condition commonly affects the lower extremities, especially the saphenous veins, due to the higher pressure from prolonged standing and walking. However, varicosities can also occur in other areas, such as the esophagus, vulva, spermatic cords, and anorectal region.Etiology and typesPrimary varicose veins, often idiopathic, are more common in women due to inherent...
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Veins of the Abdomen and Pelvis01:18

Veins of the Abdomen and Pelvis

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The human body is a complex system of interconnected parts, and the circulatory system plays a crucial role in maintaining overall health. One key component of this system is the inferior vena cava, a large vein responsible for returning blood from the abdominopelvic viscera and abdominal walls to the heart.
The inferior vena cava is fed by numerous smaller veins. The lumbar veins, for instance, drain the posterior abdominal wall, emptying both directly into the inferior vena cava and into the...
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Updated: Jul 13, 2025

New Thrombectomy Technique for Total Portal Vein Thrombosis in Liver Transplantation
08:45

New Thrombectomy Technique for Total Portal Vein Thrombosis in Liver Transplantation

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[Splanchnic vein thrombosis].

A Riescher-Tuczkiewicz1, L Elkrief2, P-E Rautou3

  • 1Université Paris-Cité, Inserm, centre de recherche sur l'inflammation, UMR 1149, Paris, France.

La Revue De Medecine Interne
|October 14, 2023
PubMed
Summary
This summary is machine-generated.

Splanchnic vein thrombosis, including Budd-Chiari syndrome and portal vein thrombosis, often stems from myeloproliferative neoplasms. Early diagnosis and anticoagulation are crucial for managing these rare conditions and preventing complications like portal hypertension.

Keywords:
AnticoagulantsBudd-Chiari syndromeCirrhoseCirrhosisPortal veinSyndrome de Budd ChiariThrombose veineuseVeine porteVenous thrombosis

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Area of Science:

  • Hepatology
  • Vascular Medicine
  • Hematology

Context:

  • Splanchnic vein thrombosis encompasses Budd-Chiari syndrome and portal vein thrombosis, both rare conditions.
  • These thromboses can lead to portal hypertension and its severe complications.
  • Myeloproliferative neoplasms are a primary risk factor for these conditions in the absence of liver disease.

Purpose:

  • To review the causes, diagnosis, and management of splanchnic vein thrombosis.
  • To highlight the importance of a comprehensive workup for thrombosis risk factors.
  • To discuss the role of anticoagulation and transjugular intrahepatic portosystemic shunt in patient management.

Summary:

  • Budd-Chiari syndrome and portal vein thrombosis share risk factors, notably myeloproliferative neoplasms.
  • Portal vein thrombosis in cirrhosis patients indicates a poorer prognosis.
  • Long-term anticoagulation is a mainstay treatment, with TIPS as a second-line option.

Impact:

  • Improved understanding of the natural history of these rare diseases.
  • Enhanced diagnostic strategies for identifying thrombosis risk factors.
  • Optimized management protocols for splanchnic vein thrombosis, improving patient outcomes.