肝硬化门静脉高压消化道出血 非肝硬化门静脉高压
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  • [无创检测对门静脉高压评估] 无创性检测对门静脉高压的评估 日期:2020-06-26 19:36:51 点击:114

    无创检查 CSPH 临床显著门静脉高压 High-risk EV高风险食管静脉曲张 敏感性 特异性 敏感性 特异性 超声影像 40-70 >80 血小板计数 80 68 APRI 66 73 FibroTest 88 50 血小板/脾脏比值 85 66 肝脏硬度(LS) 87 85 86 59 脾脏硬度(SS) 98 74 83 57 肝硬度X...

  • [疗效判定] PARTO治疗后随访 日期:2020-04-27 13:02:50 点击:120

    Follow-up 1st Follow-up CT within three days after PARTO Thrombosis of the GV and portosystemic shunt Complete thrombosis of GV portosystemic shunts Small residual intramural GV (n=2) 2nd Follow-up CT (2-4 mon.) + 1st F/U Endoscopy Obliter...

  • [PARTO 技术] 门静脉高压:PARTO技术-CBCT 日期:2020-04-27 11:58:33 点击:169

    contrast CT images:afferent vein Proximal part of afferent vein was identified on the fluoroscopy JVIR, 2015, Gwon DI et al JVIR, 2015, Gwon DI et al....

  • [背景] PARTO的背景 日期:2020-04-27 10:54:02 点击:101

    INTRODUCTION Gastric variceal bleeding Higher mortality and rebleeding rate Radiology, 2011, Saad WE et al. Treatment for gastric varices (GV) with portosystemic shunt Balloon-occluded retrograde transvenous obliteration (BRTO) Plug-assist...

  • [增加肝容积] 肝容积增加 日期:2020-02-02 00:33:15 点击:106

    Hepatic hypertrophy after balloonoccluded transvenous obliteration of gastric varices 背景1 经自发性胃肾分流经静脉硬化胃静脉曲张的BRTO技术是来自日本治疗胃静脉曲张或出血的特殊治疗手段 此手术增加门静脉到肝脏的血流: 加重门静脉高压 潜在改善肝...

  • [基本技术] BRTO的基本技术 日期:2020-01-29 07:52:30 点击:232

    BRTO for Gastric Varices [BRTV] Hirotas classification Downgrading (stepwise injection of EO, coiling, deeper into GRS, habitus change) [Collaterals] LIPV, PCV, (hemi) Azygos V, AscLV, Gonadal V, etc. [GR shunt] Single, Ring, Streaks [Irre...

  • [适应症] BRTO的适应症 日期:2020-01-28 20:49:28 点击:420

    BRTO: indications and treatment Authors: K. Kobayashi, S. Hirota, S. Yamamoto, S. Achiwa, M. Yamazaki, H. Maeda Abstract Content 1. Introduction: B- RTO (balloon- occluded retrograde transvenous obliteration) has developed in Japan since 1...

  • [TIPS对BRTO的保护价值] TIPS对BRTO保护价值 日期:2020-01-28 19:06:49 点击:138

    背景 TIPS is the primary IR therapy worldwide for both refractory ascites/hydrothorax and gastroesophageal variceal bleeding in the setting of portal hypertension BRTO has become more widely accepted as a therapy for gastric variceal bleed...

  • [经颈静脉BRTO] 经颈静脉BRTO 日期:2018-03-21 06:23:39 点击:169

    用标准的血管造影技术进行经颈静脉穿刺入路 通过左肾上腺,球囊导管进入胃肾分流血管 左膈下静脉侧支循环 侧支循环-左膈下静脉栓塞 明胶海绵+碘油+聚桂醇栓塞,...

  • [十二指肠静脉曲张出血] 十二指肠静脉曲张 日期:2018-02-22 09:27:34 点击:109

    十二指肠曲张静脉(duodenal varicosis,DV)在1931年由Alberit提出[1],1973年由Kunisaki在内窥镜下发现[2]。DV通常起源于胰十二指肠静脉,以球部最多见,其次是降部,横部和升部少见,个别病例可累及整个十二指肠,约40%合并有食管、胃底曲张静脉存在。DV...

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    Rsch和他的同事们在行诊断性经颈内静脉胆管造影时,导管偶尔会进入肝内门脉分支,从而...

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    BRTO和TIPS目标是通过根本改变门静脉压力和门静脉血流动力学干预门静脉高压的并发症。...

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    胃静脉曲张及GOV1和GOV2急性出血者,若存在药物联合内镜治疗失败(失败率高)的高危因...