title: [Recent thrombosis of splanchnic veins : Two case reports of catheter-assisted local thrombolysis and thrombus aspiration].
abstract: Recent non-cirrhotic and non-malignant splanchnic vein thrombosis is now defined as extrahepatic portal vein thrombosis with or without involvement of the mesenteric vein according to the Baveno VI consensus from 2015. An early diagnosis is often challenging due to unspecific symptoms with abdominal pain or diarrhea but extremely important because of the potential acute and chronic complications, such as mesenteric ischemia and portal hypertension; therefore, rapid treatment is crucial. We present two cases of severe splanchnic vein thrombosis, which were treated with catheter-directed local thrombolysis and thrombus aspiration. These minimally invasive catheter-directed techniques have recently been successfully used in selected patients. A review of the literature is provided in this article. In summary, the management of splanchnic vein thrombosis must be individually planned for each patient and should be performed at experienced centers, which can provide all therapeutic options. In selected cases with the correct indications transjugular transhepatic catheter-directed local thrombolysis is a safe option with a good outcome.
authors: Medizinische Klinik und Poliklinik I, Universitätsklinikum Bonn, Sigmund-Freud-Str. 25, 53127, Bonn, Deutschland.
authors: M
authors: M
authors: Praktiknjo
authors: Radiologische Klinik, Universitätsklinikum Bonn, Bonn, Deutschland.
authors: C
authors: C
authors: Meyer
authors: Medizinische Klinik und Poliklinik I, Universitätsklinikum Bonn, Sigmund-Freud-Str. 25, 53127, Bonn, Deutschland.
authors: C P
authors: CP
authors: Strassburg
authors: Medizinische Klinik und Poliklinik I, Universitätsklinikum Bonn, Sigmund-Freud-Str. 25, 53127, Bonn, Deutschland. jonel.trebicka@ukb.uni-bonn.de.
authors: J
authors: J
authors: Trebicka
mesh_terms: D002406:Catheterization, Peripheral / Q000379:methods*; D003131:Combined Modality Therapy / Q000379:methods; D006801:Humans; D008297:Male; D061185:Mechanical Thrombolysis / Q000379:methods*; D008875:Middle Aged; D011169:Portal Vein / Q000000981:diagnostic imaging*; D013152:Splanchnic Circulation; D017131:Thrombectomy / Q000379:methods*; D016896:Treatment Outcome; D020246:Venous Thrombosis / Q000000981:diagnostic imaging* / Q000628:therapy*; D055815:Young Adult
keywords: Interventional radiological procedures; Portal vein; Portosystemic shunt, transjugular, intrahepatic; Splenic vein; Superior mesenteric vein