经过横性肝内移植系统分流后的支架骨折:一个病例报告
Tan-Yang Zhou1, Hong-Liang Wang2, Guo-Fang Tao3
1Hepatobiliary and Pancreatic Interventional Treatment Center, Division of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, Zhejiang Province, China. 1512037@zju.edu.cn.
World journal of gastrointestinal surgery
|June 12, 2025
概括
跨内肝移植系统分流 (TIPS) 支架骨折很少发生,但严重. 一个并行的TIPS程序成功地治疗了一名因TIPS支架骨折引起的复发性出血和炎的患者,证明了有效的管理.
科学领域:
- 干预性放射学 干预性放射学
- 肝病学 肝病学是一种肝病学.
- 血管外科 血管外科
背景情况:
- 横性肝内移植系统分流 (TIPS) 有效地管理门脉高血压并发症.
- 支架骨折是TIPS后极其罕见但显著的并发症.
- 及时诊断和干预对于管理不良事件至关重要.
研究的目的:
- 报告一个成功的TIPS平行创建破裂支架的案例.
- 审查关于TIPS后支架骨折的机制和管理的文献.
主要方法:
- 一名56岁的男性患有乙型肝炎相关的门性高血压,接受了TIPS治疗复发性黑色素.
- 该患者在手术后15个月出现了TIPS支架骨折,导致了反复出现的水出血和.
- 在一个支架在支架的方法失败后,成功执行了并行TIPS程序.
主要成果:
- 平行TIPS程序有效地解压了门静脉系统.
- 在1个月的随访后,患者的水出血和炎显著改善.
- 在12个月的随访期间,没有观察到出血,,或肝脏脑病的复发.
结论:
- 早期识别和及时干预对于管理TIPS支架骨折至关重要.
- 平行 TIPS 是一种可行的替代方案,可以在其他方法失败时处理破裂的 TIPS.
- 有效地管理支架骨折可以确保最佳的患者结果,并减轻风险.
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