Portosplenic blood flow separation in a patient with portosystemic encephalopathy and a spontaneous splenorenal shunt.
J Vasc Interv Radiol
; 15(8): 875-9, 2004 Aug.
Article
en En
| MEDLINE
| ID: mdl-15297594
ABSTRACT
A patient with portosystemic encephalopathy, hyperammonemia, and a spontaneous splenorenal shunt was admitted to the authors' institution after a failed attempt at transvenous retrograde shunt obliteration. As an alternative approach, the authors separated splenic and portal flows by embolizing only the proximal splenic vein while leaving the shunt intact. Thus, the splenic flow could escape into the systemic circulation and an extreme increase in portal pressure was avoided. The procedure could provide rapid decreases in blood ammonia levels and a fast resolution of symptoms, but repeated interventions were required.
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Bases de datos:
MEDLINE
Asunto principal:
Bazo
/
Encefalopatía Hepática
/
Riñón
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
Límite:
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
J Vasc Interv Radiol
Asunto de la revista:
ANGIOLOGIA
/
RADIOLOGIA
Año:
2004
Tipo del documento:
Article
País de afiliación:
Japón