Portosystemic shunts and refractory hepatic encephalopathy: …
Portosystemic shunt (PS) syndrome encompasses a spectrum of disease manifestations ranging from asymptomatic portal hypertension to recurrent and refractory hepatic encephalopathy, ultimately culminating in progressive hepatic failure in …
Transjugular mesenteric-caval shunt for portal vein cavernous ...
2024年8月30日 · From May 2022 to November 2023, we pioneered the transjugular mesenteric-caval shunt (TMCS) technique to address this issue. This technique involves puncturing the superior mesenteric vein (SMV) from the inferior vena cava (IVC) to establish a mesenteric-caval shunt via transjugular access.
Portal hypertension: Imaging of portosystemic collateral …
Mesenteric collateral vessels usually appear as dilated and tortuous branches of the superior mesenteric vein within the mesenteric fat. These collateral vessels ultimately drain into the systemic venous system via the retroperitoneal or pelvic …
Could there be light at the end of the tunnel? Mesocaval shunting …
2016年7月8日 · Mesocaval shunting involves the creation of a shunt from the mesenteric vasculature, typically the superior mesenteric vein (SMV), into the inferior vena cava (IVC). Similar to TIPS, this provides relief of portal pressures by allowing blood to …
Spontaneous Mesenteric-gonadal Shunt in a Patient without …
2018年8月8日 · Computed tomography revealed a tortuous shunt between the ileocolic vein (Picture 1, ,2,2, arrowheads) and the right gonadal vein (Picture 1, ,2,2, arrows) with no signs of cirrhosis, portal hypertension, or portal vein thrombosis. Thus, a diagnosis of spontaneous mesenteric-gonadal shunt was made.
Percutaneous Ultrasound-Guided Superior and Inferior Mesenteric …
2020年11月23日 · To describe the technique and outcomes of mesenteric access under ultrasound guidance to perform portal vein recanalization–transjugular intrahepatic portosystemic shunt (PVR-TIPS). Four patients (3 male: 1 female, mean age: 46.2 years; range 38–64 years) with portal vein thrombosis (PVT) and cavernous transformation were eligible for PVR-TIPS.
Portal-systemic shunt between the inferior mesenteric vein and …
A large shunt between the inferior mesenteric vein (IMV) and the inferior vena cava (IVC) is a rare type of portosystemic shunt in patients with hepatic encephalopathy. We report a patient with hepatic encephalopathy due to a large IMV-IVC shunt who was successfully treated by balloon-occluded retro …
Mesenteric Vein to Gonadal Vein Shunt Embolization in Patients …
2024年10月15日 · In summary, this study demonstrates the technical feasibility and clinical efficacy of mesenteric to gonadal vein shunt embolization in treating hepatic encephalopathy, increasing hepatopetal portal flow, and improving liver function and liver volumes.
Meso - Rex shunt using the inferior mesenteric vein in a …
2020年10月1日 · Meso-rex shunt is a curative surgical procedure that uses autologous vein graft as a bypass to redirect blood from the superior mesenteric vein (SMV) to the patent intrahepatic left portal vein in patients. The most common vein graft used is internal jugular vein (IJV) harvested from the patient's neck.
Acquired Portosystemic Shunts in Cirrhosis and Portal Vein …
Recurrent hyperammonemic encephalopathy in our 62-year-old patient with cirrhosis and chronic portal vein thrombosis led to the discovery of an extremely rare and functioning portosystemic shunt (PSS). The PSS connected the inferior mesenteric and left renal veins.