علاج متلازمة بود-خياري مع الانسداد التجلطي الطويل المقطع للأوردة الكبدية عند فشل مضادات التخثر في حل فشل الكبد أو الاستسقاء أو الدوالي

References

DOI: 10.3390/diagnostics13081458

• The long-segment thrombotic occlusion of hepatic veins, common in Western countries, is more severe and may require a portocaval shunting procedure to relieve hepatic and splanchnic congestion.
• In symptomatic patients (liver failure, ascites, varices), early TIPSs may be indicated without waiting on their response to medical treatment.
• It is strongly recommended to create a shunt with a diameter of at least 10 mm to achieve sufficient shunt flow and to relieve hepatic and intestinal congestion.
• Needless to say, only 10 mm PTFE-covered stents should be utilized to optimize flow and long-term patency.
• The TIPS reduced the pressure gradient to 10.8 ± 4.9 mmHg.
• With respect to the systemic circulation, the TIPS improved the creatinine concentration within 2 weeks from 1.9 ± 1.7 to 0.8 ± 0.4 mg/dL.