...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>World journal of gastroenterology : >Management of surgical splenorenal shunt-related hepatic myelopathy with endovascular interventional techniques.
【24h】

Management of surgical splenorenal shunt-related hepatic myelopathy with endovascular interventional techniques.

机译：血管内介入技术管理与脾脾分流相关的手术性肝脊髓病。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

We present a case with hepatic myelopathy (HM) due to a surgical splenorenal shunt that was successfully treated by endovascular interventional techniques. A 39-year-old man presented with progressive spastic paraparesis of his lower limbs 14 mo after a splenorenal shunt. A portal venogram identified a widened patent splenorenal shunt. We used an occlusion balloon catheter initially to occlude the shunt. Further monitoring of the patient revealed a decrease in his serum ammonia level and an improvement in leg strength. We then used an Amplatzer vascular plug (AVP) to enable closure of the shunt. During the follow up period of 7 mo, the patient experienced significant clinical improvement and normalization of blood ammonia, without any complications. Occlusion of a surgically created splenorenal shunt with AVP represents an alternative therapy to surgery or coil embolization that can help to relieve shunt-induced HM symptoms.
机译：由于外科脾脏分流术已成功通过血管内介入技术治疗，因此我们提出了一个肝性脊髓病（HM）的病例。一名39岁的男子在脾脏分流后14个月出现下肢进行性痉挛性轻瘫。门静脉造影发现脾脏脾脏分流扩大。我们最初使用阻塞球囊导管阻塞分流器。进一步监测患者发现他的血清氨水平降低，腿部力量得到改善。然后，我们使用Amplatzer血管塞（AVP）来实现分流器的闭合。在7个月的随访期内，患者的血氨水平显着改善，临床正常，无任何并发症。用AVP闭塞手术创建的脾肾分流器是手术或线圈栓塞的替代疗法，可帮助缓解分流器引起的HM症状。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号