MesoTIPS: Combined approach for the treatment of portal hypertension secondary to portal vein thrombosis – A brief report
Introduction: We describe a technique we call “Meso-transjugular intrahepatic portosystemic shunt (MTIPS)” for relief of portal hypertension secondary to portal vein thrombosis (PVT) using combined surgical and endovascular technique. Materials and Methods: Nine adult patients with PVT underwent tra...
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2017-01-01
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| Series: | The Arab Journal of Interventional Radiology |
| Subjects: | |
| Online Access: | http://www.arabjir.com/article.asp?issn=2542-7075;year=2017;volume=1;issue=1;spage=20;epage=26;aulast=Chamsuddin |
| _version_ | 1819290185847799808 |
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| author | Abbas Chamsuddin Lama Nazzal Thomas Heffron Osama Gaber Raja Achou Louis G Martin |
| author_facet | Abbas Chamsuddin Lama Nazzal Thomas Heffron Osama Gaber Raja Achou Louis G Martin |
| author_sort | Abbas Chamsuddin |
| collection | DOAJ |
| description | Introduction: We describe a technique we call “Meso-transjugular intrahepatic portosystemic shunt (MTIPS)” for relief of portal hypertension secondary to portal vein thrombosis (PVT) using combined surgical and endovascular technique. Materials and Methods: Nine adult patients with PVT underwent transjugular intrahepatic portosystemic shunt through a combined transjugular and mesenteric approach (MTIPS), in which a peripheral mesenteric vein was exposed through a minilaparotomy approach. The right hepatic vein was accessed through a transjugular approach. Mechanical thrombectomy, thrombolysis, and angioplasty were performed when feasible to clear PVT. Results: All patients had technically successful procedures. Patients were followed up for a mean time of 13.3 months (range: 8 days to 3 years). All patients are still alive and asymptomatic. Conclusion: We conclude that MTIPS is effective for the relief of portal hypertension secondary to PVT. |
| first_indexed | 2024-12-24T03:18:44Z |
| format | Article |
| id | doaj.art-e42994f51fe44a9e8f722e1d86e19369 |
| institution | Directory Open Access Journal |
| issn | 2542-7075 2542-7083 |
| language | English |
| last_indexed | 2024-12-24T03:18:44Z |
| publishDate | 2017-01-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | The Arab Journal of Interventional Radiology |
| spelling | doaj.art-e42994f51fe44a9e8f722e1d86e193692022-12-21T17:17:33ZengThieme Medical and Scientific Publishers Pvt. Ltd.The Arab Journal of Interventional Radiology2542-70752542-70832017-01-0111202610.4103/2542-7075.199571MesoTIPS: Combined approach for the treatment of portal hypertension secondary to portal vein thrombosis – A brief reportAbbas ChamsuddinLama NazzalThomas HeffronOsama GaberRaja AchouLouis G MartinIntroduction: We describe a technique we call “Meso-transjugular intrahepatic portosystemic shunt (MTIPS)” for relief of portal hypertension secondary to portal vein thrombosis (PVT) using combined surgical and endovascular technique. Materials and Methods: Nine adult patients with PVT underwent transjugular intrahepatic portosystemic shunt through a combined transjugular and mesenteric approach (MTIPS), in which a peripheral mesenteric vein was exposed through a minilaparotomy approach. The right hepatic vein was accessed through a transjugular approach. Mechanical thrombectomy, thrombolysis, and angioplasty were performed when feasible to clear PVT. Results: All patients had technically successful procedures. Patients were followed up for a mean time of 13.3 months (range: 8 days to 3 years). All patients are still alive and asymptomatic. Conclusion: We conclude that MTIPS is effective for the relief of portal hypertension secondary to PVT.http://www.arabjir.com/article.asp?issn=2542-7075;year=2017;volume=1;issue=1;spage=20;epage=26;aulast=ChamsuddinMeso-transjugular intrahepatic portosystemic shuntportal hypertensionportal vein thrombosistransjugular intrahepatic portosystemic shunt |
| spellingShingle | Abbas Chamsuddin Lama Nazzal Thomas Heffron Osama Gaber Raja Achou Louis G Martin MesoTIPS: Combined approach for the treatment of portal hypertension secondary to portal vein thrombosis – A brief report The Arab Journal of Interventional Radiology Meso-transjugular intrahepatic portosystemic shunt portal hypertension portal vein thrombosis transjugular intrahepatic portosystemic shunt |
| title | MesoTIPS: Combined approach for the treatment of portal hypertension secondary to portal vein thrombosis – A brief report |
| title_full | MesoTIPS: Combined approach for the treatment of portal hypertension secondary to portal vein thrombosis – A brief report |
| title_fullStr | MesoTIPS: Combined approach for the treatment of portal hypertension secondary to portal vein thrombosis – A brief report |
| title_full_unstemmed | MesoTIPS: Combined approach for the treatment of portal hypertension secondary to portal vein thrombosis – A brief report |
| title_short | MesoTIPS: Combined approach for the treatment of portal hypertension secondary to portal vein thrombosis – A brief report |
| title_sort | mesotips combined approach for the treatment of portal hypertension secondary to portal vein thrombosis a brief report |
| topic | Meso-transjugular intrahepatic portosystemic shunt portal hypertension portal vein thrombosis transjugular intrahepatic portosystemic shunt |
| url | http://www.arabjir.com/article.asp?issn=2542-7075;year=2017;volume=1;issue=1;spage=20;epage=26;aulast=Chamsuddin |
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