Spontaneous thrombosis of large splenorenal shunt during balloon-occluded retrograde transvenous obliteration in a patient with chronic persistent hepatic encephalopathy. Is this catheter assisted trans-venous occlusion?
Large spontaneous portosystemic shunts in cirrhosis are implicated in recurrent and/or chronic persistent hepatic encephalopathy. In long standing cases, these shunts lead to portal vein thrombosis and hepatic dysfunction. Balloon-occluded retrograde transvenous obliteration (BRTO) is an endovascula...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2017-12-01
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| Series: | Gastroenterology Insights |
| Subjects: | |
| Online Access: | http://www.pagepress.org/journals/index.php/gi/article/view/6906 |
| _version_ | 1811227531683037184 |
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| author | Lijesh Kumar Cyriac Abby Philips Prakash Zacharias Sudarshan Patil Philip Augustine |
| author_facet | Lijesh Kumar Cyriac Abby Philips Prakash Zacharias Sudarshan Patil Philip Augustine |
| author_sort | Lijesh Kumar |
| collection | DOAJ |
| description | Large spontaneous portosystemic shunts in cirrhosis are implicated in recurrent and/or chronic persistent hepatic encephalopathy. In long standing cases, these shunts lead to portal vein thrombosis and hepatic dysfunction. Balloon-occluded retrograde transvenous obliteration (BRTO) is an endovascular technique that is usually employed for shunt closure in the patients manifesting the features of chronic hepatic encephalopathy. There are several reports documenting systemic and portal vein thrombosis as a part of the procedure. We report first time a patient in whom the difficult and partial BRTO procedure led to the extensive thrombosis of the large splenorenal shunt itself without sclerosant instillation. |
| first_indexed | 2024-04-12T09:42:53Z |
| format | Article |
| id | doaj.art-1d1cc39a679c460fb93a015031e15219 |
| institution | Directory Open Access Journal |
| issn | 2036-7414 2036-7422 |
| language | English |
| last_indexed | 2024-04-12T09:42:53Z |
| publishDate | 2017-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Gastroenterology Insights |
| spelling | doaj.art-1d1cc39a679c460fb93a015031e152192022-12-22T03:38:01ZengMDPI AGGastroenterology Insights2036-74142036-74222017-12-018110.4081/gi.2017.69063856Spontaneous thrombosis of large splenorenal shunt during balloon-occluded retrograde transvenous obliteration in a patient with chronic persistent hepatic encephalopathy. Is this catheter assisted trans-venous occlusion?Lijesh Kumar0Cyriac Abby Philips1Prakash Zacharias2Sudarshan Patil3Philip Augustine4Department of Diagnostic and Interventional Radiology, PVS Institute of Digestive Diseases, PVS Memorial Hospital, Kochi, KeralaDepartment of Hepatology and Transplant Medicine, PVS Institute of Digestive Diseases, PVS Memorial Hospital, Kochi, KeralaDepartment of Gastroenterology, PVS Institute of Digestive Diseases, PVS Memorial Hospital, Kochi, KeralaDepartment of Gastroenterology, PVS Institute of Digestive Diseases, PVS Memorial Hospital, Kochi, KeralaDepartment of Hepatology and Transplant Medicine and Department of Gastroenterology, PVS Institute of Digestive Diseases, PVS Memorial Hospital, Kochi, KeralaLarge spontaneous portosystemic shunts in cirrhosis are implicated in recurrent and/or chronic persistent hepatic encephalopathy. In long standing cases, these shunts lead to portal vein thrombosis and hepatic dysfunction. Balloon-occluded retrograde transvenous obliteration (BRTO) is an endovascular technique that is usually employed for shunt closure in the patients manifesting the features of chronic hepatic encephalopathy. There are several reports documenting systemic and portal vein thrombosis as a part of the procedure. We report first time a patient in whom the difficult and partial BRTO procedure led to the extensive thrombosis of the large splenorenal shunt itself without sclerosant instillation.http://www.pagepress.org/journals/index.php/gi/article/view/6906cirrhosis, portal hypertension, portosystemic shunts, hepatic encephalopathy, BRTO, shunt occlusion |
| spellingShingle | Lijesh Kumar Cyriac Abby Philips Prakash Zacharias Sudarshan Patil Philip Augustine Spontaneous thrombosis of large splenorenal shunt during balloon-occluded retrograde transvenous obliteration in a patient with chronic persistent hepatic encephalopathy. Is this catheter assisted trans-venous occlusion? Gastroenterology Insights cirrhosis, portal hypertension, portosystemic shunts, hepatic encephalopathy, BRTO, shunt occlusion |
| title | Spontaneous thrombosis of large splenorenal shunt during balloon-occluded retrograde transvenous obliteration in a patient with chronic persistent hepatic encephalopathy. Is this catheter assisted trans-venous occlusion? |
| title_full | Spontaneous thrombosis of large splenorenal shunt during balloon-occluded retrograde transvenous obliteration in a patient with chronic persistent hepatic encephalopathy. Is this catheter assisted trans-venous occlusion? |
| title_fullStr | Spontaneous thrombosis of large splenorenal shunt during balloon-occluded retrograde transvenous obliteration in a patient with chronic persistent hepatic encephalopathy. Is this catheter assisted trans-venous occlusion? |
| title_full_unstemmed | Spontaneous thrombosis of large splenorenal shunt during balloon-occluded retrograde transvenous obliteration in a patient with chronic persistent hepatic encephalopathy. Is this catheter assisted trans-venous occlusion? |
| title_short | Spontaneous thrombosis of large splenorenal shunt during balloon-occluded retrograde transvenous obliteration in a patient with chronic persistent hepatic encephalopathy. Is this catheter assisted trans-venous occlusion? |
| title_sort | spontaneous thrombosis of large splenorenal shunt during balloon occluded retrograde transvenous obliteration in a patient with chronic persistent hepatic encephalopathy is this catheter assisted trans venous occlusion |
| topic | cirrhosis, portal hypertension, portosystemic shunts, hepatic encephalopathy, BRTO, shunt occlusion |
| url | http://www.pagepress.org/journals/index.php/gi/article/view/6906 |
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