Catheter-directed thrombolysis with transjugular access in portal vein thrombosis secondary to pancreatitis.
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.
Aytekin
C
C
Department of Radiology, Baskent University Faculty of Medicine, Ankara, Turkey.
Boyvat
F
F
Kurt
A
A
Yologlu
Z
Z
Coskun
M
M
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*
D005343:Fibrinolytic Agents; D014568:Urokinase-Type Plasminogen Activator