title: Catheter-directed thrombolysis with transjugular access in portal vein thrombosis secondary to pancreatitis.
abstract: A case of portal vein thrombosis (PVT) secondary to pancreatitis is presented. Patient was treated with catheter-directed thrombolysis using urokinase solution. Because the percutaneous transhepatic approach is associated with higher risk of hemorrhage we used the catheter-directed thrombolysis via the transjugular intrahepatic access to restore the patency of the thrombosed portal vein. This case shows that catheter-directed thrombolysis with transjugular approach can be effectively used in the treatment of PVT.
authors.affiliation: Department of Radiology, Baskent University Faculty of Medicine, Ankara, Turkey.
authors.forename: C
authors.initials: C
authors.lastname: Aytekin
authors.forename: F
authors.initials: F
authors.lastname: Boyvat
authors.forename: A
authors.initials: A
authors.lastname: Kurt
authors.forename: Z
authors.initials: Z
authors.lastname: Yologlu
authors.forename: M
authors.initials: M
authors.lastname: Coskun
mesh_terms: D002404:Catheterization / Q000295:instrumentation*; D002908:Chronic Disease; D005260:Female; D005343:Fibrinolytic Agents / Q000627:therapeutic use*; D006801:Humans; D008875:Middle Aged; D010195:Pancreatitis / Q000150:complications*; D011169:Portal Vein; D019168:Portasystemic Shunt, Transjugular Intrahepatic / Q000295:instrumentation*; D015912:Thrombolytic Therapy; D018615:Ultrasonography, Doppler, Color; D014568:Urokinase-Type Plasminogen Activator / Q000627:therapeutic use*; D020246:Venous Thrombosis / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000209:etiology*
chemical_list: D005343:Fibrinolytic Agents; D014568:Urokinase-Type Plasminogen Activator