• Cardiovasc Intervent Radiol · Sep 2007

    Case Reports

    Transjugular intrahepatic portosystemic shunt, mechanical aspiration thrombectomy, and direct thrombolysis in the treatment of acute portal and superior mesenteric vein thrombosis.

    • Carlo Ferro, Umberto G Rossi, Giulio Bovio, M'hamed Dahamane, and Monica Centanaro.
    • Department of Diagnostic and Interventional Radiology, San Martino University Hospital, Largo Rosanna Benzi 10, 16132 Genoa, Italy.
    • Cardiovasc Intervent Radiol. 2007 Sep 1; 30 (5): 1070-4.

    AbstractA patient was admitted because of severe abdominal pain, anorexia, and intestinal bleeding. Contrast-enhanced multidetector computed tomography demonstrated acute portal and superior mesenteric vein thrombosis (PSMVT). The patient was treated percutaneously with transjugular intrahepatic portosystemic shunt (TIPS), mechanical aspiration thrombectomy, and direct thrombolysis, and 1 week after the procedure, complete patency of the portal and superior mesenteric veins was demonstrated. TIPS, mechanical aspiration thrombectomy, and direct thrombolysis together are promising endovascular techniques for the treatment of symptomatic acute PSMVT.

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