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慢性门静脉血栓瘤的双重访问策略:通过跨脏和跨肝脏路线进行救援再通道

Jose D Cardona Ortegón¹, Aura Ramirez¹, Laura Manuela Olarte Bermúdez¹

¹Radiology, University Hospital Fundación Santa Fé de Bogotá, Bogotá, COL.

|October 20, 2025

概括

肝移植后的慢性门静脉血栓 (PVT) 可能导致出血. 一种双接入的内血管方法成功地重新通了门静脉,恢复了流动并减少了复杂病例中的并发症.

科学领域:

干预性放射学干预性放射学
肝胆道手术肝胆道手术
移植医学移植医学移植医学

背景情况:

慢性门静脉血栓塞 (PVT) 与洞穴性转变是肝移植 (LT) 后的一种罕见并发症.
PVT可以导致门高血压和显著的胃肠道 (GI) 出血.
在LT接收者中,复杂PVT的管理仍然具有挑战性.

研究的目的:

报告一个成功的门静脉再通道化 (PVR) 病例,该病例发生在肝移植患者中,患者患有慢性PVT和洞穴变形.
为了证明复杂PVT的双访问内血管战略的可行性.
为了突出一个有效的治疗复发性胃肠道出血二次PVT.

主要方法:

一名47岁的女性LT接受者患有复发性胃肠道出血和慢性PVT,接受了PVR.
对于双重接入,使用了一种综合的跨肝和跨的方法.
连续气球血管整形和支架部署 (覆盖和裸金属) 恢复了门静脉流动.

主要成果:

成功恢复门静脉流和减少附带循环.
技术上取得了成功,没有任何重大并发症;通过栓塞来管理自我限制的周白血瘤.
双访问内血管战略在管理复杂的慢性PVT方面被证明是有效的.

结论:

在移植后的患者中,双接入内血管策略是可行和有效的,用于治疗复杂的慢性PVT与洞穴变化的复杂性.
这种方法提供了一种可行的解决方案,用于管理这种患者群体中复发性出血.
成功的PVR可以减轻肝移植后门高血压的后果.

关键词:

洞穴性退化症洞穴性退化胃肠道出血胃肠道出血肝脏移植肝脏移植肝脏移植肝脏移植门高血压门高血压门血栓形成症门血栓形成放射性干预是指进行放射性干预.

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