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首页> 外文期刊>Radiology Case Reports >Transsplenic portal vein reconstruction–transjugular intrahepatic portosystemic shunt in a patient with portal and splenic vein thrombosis
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Transsplenic portal vein reconstruction–transjugular intrahepatic portosystemic shunt in a patient with portal and splenic vein thrombosis

机译：经脾门静脉脾血栓形成患者经脾门静脉重建术-经颈静脉肝内门体分流术

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Portal vein thrombosis (PVT) is a potential complication of cirrhosis and can worsen outcomes after liver transplant (LT). Portal vein reconstruction–transjugular intrahepatic portosystemic shunt (PVR-TIPS) can restore flow through the portal vein (PV) and facilitate LT by avoiding complex vascular conduits. We present a case of transsplenic PVR-TIPS in the setting of complete PVT and splenic vein (SV) thrombosis. The patient had a 3-year history of PVT complicated by abdominal pain, ascites, and paraesophageal varices. A SV tributary provided access to the main SV and was punctured percutaneously under ultrasound scan guidance. PV access, PV and SV venoplasty, and TIPS placement were successfully performed without complex techniques. The patient underwent LT with successful end-to-end anastomosis of the PVs. Our case suggests transsplenic PVR-TIPS to be a safe and effective alternative to conventional PVR-TIPS in patients with PVT and SV thrombosis.
机译：门静脉血栓形成（PVT）是肝硬化的潜在并发症，可能会恶化肝移植（LT）后的结局。门静脉重建–经颈静脉肝内门体分流术（PVR-TIPS）可以通过门静脉（PV）恢复血流，并通过避免复杂的血管导管来促进LT。我们介绍了在完全PVT和脾静脉（SV）血栓形成的情况下经脾PVR-TIPS的情况。该患者有3年的PVT病史，并伴有腹痛，腹水和食管旁静脉曲张。 SV支流提供了通往主要SV的通道，并在超声扫描引导下经皮穿刺。无需复杂技术即可成功进行PV通路，PV和SV静脉成形术以及TIPS放置。患者接受了成功的PV端到端吻合术的LT。我们的案例表明，对于患有PVT和SV血栓形成的患者，经脾PVR-TIPS是常规PVR-TIPS的安全有效替代方案。

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