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...
51岁 女性;胰腺癌放弃Whipple,行胆总管空肠吻合术,术后吻合口狭窄,行PTC; 胆肠吻合口狭窄导致肝内胆管扩张,反复胆管炎 PTC PTC PTC 辅助下ERCP 支架过网眼技术 因消化道出血随访显示支撑架进入十二指肠球,支架内内可见出血 寻找出血原因,显示肝动脉...
Percutaneous biliary drains (PTC) are often placed in the setting of elevated bilirubin associated with malignant obstruction to relive jaundice and deliver chemotherapy. Goal is to bring bilirubin below 2 mg/dL for safe delivery of chemot...
禁忌症Contraindications 离肝血流 Hepatofugal portal vein flow 引起继发脾大和脾亢的终末期疾病 Terminal-stage disease causing secondary splenomegaly and hypersplenism 发热或严重感染 Pyrexia or severe infections 适应症 Indications 改善血液学...
First performed by Spigos et al in 1979 AJR 132: 777-782...
脾亢脾动脉栓塞 SPLENIC ARTERY EMBOLISATION FOR HYPERSPLENISM...
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胆道解剖示意图...
Jaundice Pruritus Cholangitis To allow administration of chemotherapy To improve the outcome of surgical resection To deliver additional therapies Brachytherapy Photodynamic therapy...
胆管癌 胰腺癌 胆囊癌 十二指肠癌 转移癌...
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...
结直肠癌多模式治疗 1. 辅助治疗(Adjuvant)是指外科术后化疗 2. 新辅助治疗(Neoadj...
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...
至少20年前我们诊断消化道出血依赖血管造影(angiography),内窥镜(endoscopy)和核...
Patterns of BilateralStent Placement Y型 每个支撑架的功能是分别的,可以经过任何...