title: Thrombolysis and Transjugular Intrahepatic Portosystemic Shunt Creation for Acute and Subacute Portal Vein Thrombosis.
abstract: Catheter-based interventional therapy offers a safe and effective option for treatment of symptomatic portomesenteric venous thrombosis refractory to medical therapy. Various techniques and approaches have been described for thrombolysis and thrombectomy and re-establishing the portal venous flow for select populations. Early diagnosis and prompt treatment based on clinical presentation, imaging, and underlying anatomy are necessary to prevent long-term complications. This article describes various catheter-based approaches for treatment of acute and subacute portal vein thrombosis.
authors.affiliation: Division of Interventional Radiology, Department of Radiology, University of Texas Southwestern Medical Center, Dallas, TX.
authors.forename: Murthy R
authors.initials: MR
authors.lastname: Chamarthy
authors.affiliation: Division of Interventional Radiology, Department of Radiology, University of Texas Southwestern Medical Center, Dallas, TX.
authors.forename: Matthew E
authors.initials: ME
authors.lastname: Anderson
authors.affiliation: Division of Interventional Radiology, Department of Radiology, University of Texas Southwestern Medical Center, Dallas, TX.
authors.forename: Anil K
authors.initials: AK
authors.lastname: Pillai
authors.affiliation: Division of Interventional Radiology, Department of Radiology, University of Texas Southwestern Medical Center, Dallas, TX. Electronic address: Sanjeeva.Kalva@UTSouthwestern.edu.
authors.forename: Sanjeeva P
authors.initials: SP
authors.lastname: Kalva
mesh_terms: D000208:Acute Disease; D000368:Aged; D000925:Anticoagulants / Q000008:administration & dosage; D003131:Combined Modality Therapy; D042241:Early Diagnosis; D005260:Female; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D008875:Middle Aged; D018579:Patient Selection; D010690:Phlebography; D011169:Portal Vein / Q000000981:diagnostic imaging / Q000187:drug effects* / Q000601:surgery*; D019168:Portasystemic Shunt, Transjugular Intrahepatic / Q000009:adverse effects; D011172:Portography; D011237:Predictive Value of Tests; D012307:Risk Factors; D015912:Thrombolytic Therapy / Q000009:adverse effects; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler; D020246:Venous Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*
chemical_list: D000925:Anticoagulants
keywords: PVT; TIPS; cirrhosis; thrombolysis