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在失败的PVR-TIPS尝试后,通过皮肤创建了 retroperitoneal splenorenal shunt

Omari Christie¹, Bryan Nicholas Swilley²

¹Department of Radiology, Division of Interventional Radiology, Emory University, 1364 Clifton Road Suite AG-05, Atlanta, GA, 30322, USA.

CVIR endovascular

|February 28, 2026

概括

通过皮肤进行逆皮质脊髓鼻变送 (PRESS) 创建为胃和食道静脉出血提供了一种替代治疗方法,当跨内肝移植系统变送 (TIPS) 不可行时. 这种程序有效地减压门静脉系统,降低出血风险.

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:

胃和食道的水出血对患者的健康构成重大威胁.
创建跨内肝移植系统分流 (TIPS) 是治疗水出血的常见干预措施.
当TIPS无法实现时,需要使用替代性解压方法.

研究的目的:

为了呈现一个皮肤穿越的尾尾尾突变 (PRESS) 创建的案例.
在TIPS失败时展示PRESS作为门户解压缩的替代方案.
评估PRESS在治疗具有洞穴转变的慢性门静脉血栓的疗效.

主要方法:

通过皮肤进行的背形脊髓鼻突变 (PRESS) 创建.
脏静脉到左上腺静脉的分流.
慢性门静脉血栓与洞穴变化的治疗.
程序后的后续行动.

主要成果:

通过PRESS.成功地减压了状静脉系统.
在6个月的随访期内没有的再出血.
当TIPS是禁忌或失败时,PRESS的可行性已被证明.

结论:

创建PRESS是门静脉系统减压的可行替代方案.
这种技术可以在患有复杂门静脉血栓症的患者中有效.
压力为管理耐火性水出血提供了一个有价值的选择.

关键词:

媒体的新闻.这是一个PVR-TIPS.门口高血压的高血压.提示提示 (TIPS) 是一个提醒.腹出血是因为水.

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