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Transjugular Intrahepatic Portosystemic Shunt, Mechanical Aspiration Thrombectomy, and Direct Thrombolysis in the Treatment of Acute Portal and Superior Mesenteric Vein Thrombosis

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Abstract

A patient was admitted because of severe abdominal pain, anorexia, and intestinal bleeding. Contrast-enhanced multidetector computed tomography demonstrated acute portal and superior mesenteric vein thrombosis (PSMVT). The patient was treated percutaneously with transjugular intrahepatic portosystemic shunt (TIPS), mechanical aspiration thrombectomy, and direct thrombolysis, and 1 week after the procedure, complete patency of the portal and superior mesenteric veins was demonstrated. TIPS, mechanical aspiration thrombectomy, and direct thrombolysis together are promising endovascular techniques for the treatment of symptomatic acute PSMVT.

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Authors and Affiliations

  1. Department of Diagnostic and Interventional Radiology, San Martino University Hospital, Largo Rosanna Benzi 10, 16132, Genoa, Italy

    Carlo Ferro, Umberto G. Rossi, Giulio Bovio & M’Hamed Dahamane

  2. Department Intensive Care, San Martino University Hospital, Largo Rosanna Benzi 10, 16132, Genoa, Italy

    Monica Centanaro

Authors
  1. Carlo Ferro
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  2. Umberto G. Rossi
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  3. Giulio Bovio
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  4. M’Hamed Dahamane
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  5. Monica Centanaro
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Correspondence to Umberto G. Rossi.

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Ferro, C., Rossi, U.G., Bovio, G. et al. Transjugular Intrahepatic Portosystemic Shunt, Mechanical Aspiration Thrombectomy, and Direct Thrombolysis in the Treatment of Acute Portal and Superior Mesenteric Vein Thrombosis. Cardiovasc Intervent Radiol 30, 1070–1074 (2007). https://doi.org/10.1007/s00270-007-9137-z

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  • DOI: https://doi.org/10.1007/s00270-007-9137-z

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