《2016年意大利TIPS技术、适应证及禁忌证管理共识》要点 食管静脉曲张出血二级预防(药物联合内镜治疗后)失败后,TIPS的价值?覆膜支架TIPS是预防食管静脉曲张再出血的治疗方式。 TIPS是等待肝移植患者的过渡治疗方式。 TIPS是预防胃底静脉曲张再出血的有效治...
TIPS indications 1. Uncontrollable (ie,rescue)variceal hemorrhage; 2. Recurrent variceal hemorrhage despite EST; 3. Portal hypertensivegastropathy; 4. Refractory ascites; 5. Hepatichydrothorax; 6. Budd-Chiari syndrome. TIPS contraindicatio...
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...
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....
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...
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...
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...
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...
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...
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,...
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...
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。...
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...