Chronic hepatic encephalopathy due to spontaneous splenorenal shunt: Successful treatment by transhepatic shunt embolization

Author(s):  
Didier Vavasseur ◽  
Christophe Duvoux ◽  
Daniel Cherqui ◽  
Serge Derhy ◽  
Alain Rahmouni ◽  
...  
2017 ◽  
Vol 8 (1) ◽  
Author(s):  
Lijesh Kumar ◽  
Cyriac Abby Philips ◽  
Prakash Zacharias ◽  
Sudarshan Patil ◽  
Philip Augustine

Large spontaneous portosystemic shunts in cirrhosis are implicated in recurrent and/or chronic persistent hepatic encephalopathy. In long standing cases, these shunts lead to portal vein thrombosis and hepatic dysfunction. Balloon-occluded retrograde transvenous obliteration (BRTO) is an endovascular technique that is usually employed for shunt closure in the patients manifesting the features of chronic hepatic encephalopathy. There are several reports documenting systemic and portal vein thrombosis as a part of the procedure. We report first time a patient in whom the difficult and partial BRTO procedure led to the extensive thrombosis of the large splenorenal shunt itself without sclerosant instillation.


2004 ◽  
Vol 40 (5) ◽  
pp. 868 ◽  
Author(s):  
José A Carrión ◽  
Pablo Bellot ◽  
Jordi Colmenero ◽  
Juan Carlos Garcia Pagan

2001 ◽  
Vol 96 (4) ◽  
pp. 1205-1209 ◽  
Author(s):  
Ziad Hassoun ◽  
Marc Deschênes ◽  
Michel Lafortune ◽  
Michel-Pierre Dufresne ◽  
Pierre Perreault ◽  
...  

1993 ◽  
Vol 54 (5) ◽  
pp. 598-609 ◽  
Author(s):  
D. Festi ◽  
G. Mazzella ◽  
M. Orsini ◽  
S. Sottili ◽  
A. Sangermano ◽  
...  

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