Intravascular ultrasound-guided mesocaval shunt creation in patients with portal or mesenteric venous occlusion.
Extrahepatic mesocaval shunts were successfully created in three patients with refractory variceal hemorrhage, complete portal vein or superior mesenteric vein occlusion, and contraindications to shunt surgery. The use of intravascular ultrasound guidance and covered stents allowed safe and effective transvenous shunt creation without the necessity of percutaneous transabdominal mesenteric venous puncture.
Division of Interventional Radiology, Stanford University Medical Center, 300 Pasteur Drive, H-3646, Stanford, CA 94305-5642, USA.
Richard
R
Hong
Riaz S
RS
Dhanani
John D
JD
Louie
Daniel Y
DY
Sze
D000293:Adolescent; D019299:Decompression, Surgical; D019160:Endosonography; D005260:Female; D019694:Hepatitis B, Chronic / Q000150:complications; D019698:Hepatitis C, Chronic / Q000150:complications; D006801:Humans; D008297:Male; D008642:Mesenteric Veins / Q000000981:diagnostic imaging / Q000601:surgery*; D008875:Middle Aged; D010182:Pancreatic Diseases / Q000150:complications / Q000601:surgery; D011167:Portacaval Shunt, Surgical; D011169:Portal Vein / Q000000981:diagnostic imaging / Q000601:surgery*; D013156:Splenectomy; D014057:Tomography, X-Ray Computed; D018084:Ultrasonography, Interventional; D014648:Varicose Veins / Q000000981:diagnostic imaging / Q000601:surgery*; D014654:Vascular Patency; D020246:Venous Thrombosis / Q000000981:diagnostic imaging / Q000601:surgery*