scholarly journals One step minilaparotomy-assisted transmesenteric portal vein recanalization combined with transjugular intrahepatic portosystemic shunt placement: A novel surgical proposal in pediatrics

2017 ◽  
Vol 23 (15) ◽  
pp. 2811 ◽  
Author(s):  
Gloria Pelizzo ◽  
Pietro Quaretti ◽  
Lorenzo Paolo Moramarco ◽  
Riccardo Corti ◽  
Marcello Maestri ◽  
...  
Radiology ◽  
1995 ◽  
Vol 196 (3) ◽  
pp. 868-870 ◽  
Author(s):  
M Roizental ◽  
R A Kane ◽  
J Takahashi ◽  
J Kruskal ◽  
W B Crenshaw ◽  
...  

2017 ◽  
Vol 01 (01) ◽  
pp. 20-26
Author(s):  
Abbas Chamsuddin ◽  
Lama Nazzal ◽  
Thomas Heffron ◽  
Osama Gaber ◽  
Raja Achou ◽  
...  

AbstractIntroduction: We describe a technique we call “Meso-transjugular intrahepatic portosystemic shunt (MTIPS)” for relief of portal hypertension secondary to portal vein thrombosis (PVT) using combined surgical and endovascular technique. Materials and Methods: Nine adult patients with PVT underwent transjugular intrahepatic portosystemic shunt through a combined transjugular and mesenteric approach (MTIPS), in which a peripheral mesenteric vein was exposed through a minilaparotomy approach. The right hepatic vein was accessed through a transjugular approach. Mechanical thrombectomy, thrombolysis, and angioplasty were performed when feasible to clear PVT. Results: All patients had technically successful procedures. Patients were followed up for a mean time of 13.3 months (range: 8 days to 3 years). All patients are still alive and asymptomatic. Conclusion: We conclude that MTIPS is effective for the relief of portal hypertension secondary to PVT.


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