|
|
|
题名
|
作者
|
年代
|
出处
|
被引量
|
| 1 | Embolization of splenorenal shunt associated to portal vein thrombosis and hepatic encephalopathy显示文摘Hepatic encephalopathy(HE)is a cognitive disturbance characterized by neuropsychiatric alterations.It occurs in acute and chronic hepatic disease and also in patients with portosystemic shunts.The presence of these portosystemic shunts allows the passage of nitrogenous substances from the intestines through systemic veins without liver depuration.Therefore,the embolization of these shunts has been performed tocontrol HE manifestations,but the presence of portal vein thrombosis is considered a contraindication.In this presentation we show a cirrhotic patient with severe HE and portal vein thrombosis who was submitted to embolization of a large portosystemic shunt.Case report:a 57 years-old cirrhotic patient who had been hospitalized many times for persistent HE and hepatic coma,even without precipitant factors.She had a wide portosystemic shunt and also portal vein thrombosis.The abdominal angiography confirmed the splenorenal shunt and showed other shunts.The larger shunt was embolized through placement of microcoils,and the patient had no recurrence of overt HE.There was a little increase of esophageal and gastric varices,but no endoscopic treatment was needed.Since portosystemic shunts are frequent causes of recurrent HE in cirrhotic patients,portal vein thrombosis should be considered a relative contraindication to perform a shunt embolization.However,in particular cases with many shunts and severe HE,we found that one of these shunts can be safely embolized and this procedure can be sufficient to obtain a good HE recovery.In conclusion,we reported a case of persistent HE due to a wide portosystemic shunt associated with portal vein thrombosis.As the patient had other shunts,she was successfully treated by embolization of the larger shunt. | Letícia de Campos Franzoni Fábio Cardoso de Carvalho Rafael Gomes de Almeida Garzon Fábio da Silva Yamashiro Laís Augusti Lívia Alves Amaral Santos Mariana de Souza Dorna Júlio Pinheiro Baima Talles Bazeia Lima Carlos Antonio Caramori Giovanni Faria Silva Fernando Gomes Romeiro | 2014 | World Journal of Gastroenterology2014，20，42： | 6 |
| 2 | Atypical infections intsunamisurvivors显示文摘 | GarzoniC Emonet S Legout L | 2005 | Emerg infect Dis2005，11，10： | 1 |
| 3 | Impact of geometric variability on axial compressor performance显示文摘 | Garzon V E Darmofal D L | 2003 | Journal of Turbomachinery2003，，4： | 1 |
| 4 | Structure and energetics of Ni,Ag,and Au nanoclusters显示文摘 | MICHAELIAN K RENDON N GARZON I L | 1999 | Phys Rev B1999，602，000： | 1 |
| 5 | PEM fuel cell electrocatalyst durability measurements 显示文摘 | BORUP R L DAVEY J R GARZON F H | 2006 | J Power Sources2006，163，： | 1 |
| 6 | Lowest energy struc- tures of gold nanoclusters显示文摘 | Garzon I L Miehaelian K Behron M R | 1998 | Phys Rev Lett1998，81，8： | 1 |
| 7 | Lowest energy structures of gold nanoclusters 显示文摘 | Garzon I L Michaelian K Beltrdn M R | 1998 | Physical Review Letters1998，81，： | 1 |
| 8 | 显示文摘 | JELLINEK J GARZON I L | 1991 | Z Phys D: At Mol Clusters1991，20，1234： | 1 |
| 9 | Negative heat capacity of sodium clusters显示文摘 | Reyes-Nava J A Garzon I L Michaelian K | 2003 | Phys Rev B2003，67，： | 1 |
| 10 | Cholestasis associated with prolonged parenteral nutrition in neonates: the role of urso-deoxycholic acid 显示文摘 | Garzon L Ledo A Cubells E | 2009 | Pediatr2009，70，6： | 1 |
| 11 | PEM fuel cell electrocatalyst durability measurements显示文摘 | Borup R L Davey J R Garzon F H | | 0，，01： | 1 |
| 12 | Ab initio study of small gold clusters 显示文摘 | Bravo-Perez G Garzon I L Novaro O | 1999 | J Mol Struct: Theochem1999，493，： | 1 |
| 13 | 显示文摘 | Borup R L Davey J R Garzon F H | 2006 | Journal of Power Sources2006，163，1： | 1 |
| 14 | Effects of pH, sodium bi- carbonate, cryoprotectants and foetal bovine serum on the cryopreser- ration of European eel sperm 显示文摘 | Garzon DL Penaranda DS Perez L | 2008 | Reprod Domest Anim2008，1，： | 1 |
| 15 | PEM fuel cell electrocatalyst durability measurements显示文摘 | Borup R L Davey J R Garzon F H | | 0，，01： | 1 |
| 16 | Solid-state mixed potential gas sensors: theory experiments and challenges 显示文摘 | GARZON F H MUKUNDAN R BROSHA E L | 2000 | Solid State Ionics2000，，： | 1 |
| 17 | Diffusion-weighted and dynamic contrast-enhanced MRI in evaluation of early treatment effects during neoadjuvant chemotherapy in breast cancer patients 显示文摘 | Jensen L R Garzon B Heldahl M G | 2011 | J Magn Reson Imaging2011，34，5： | 1 |
| 18 | Management of respiratory synecytialvirus with lower respiratory tract infection in infants and chil-dren显示文摘 | Garzon L S Wiles L | 2002 | AACN Clin Issues2002，13，3： | 1 |
| 19 | PEM fuel cell electrocatalyst durability measurements显示文摘 | Rod L Borup John R Davey Fernando H Garzon | 2006 | Journal of Power Sources2006，，： | 1 |
| 20 | Solid-state mixed potential gas sensors: theory, exper- iments and challenges 显示文摘 | Garzon Fernando H Mukundan Rangachary Brosha Eric L | 2000 | Solid State Ionics2000，，： | 1 |
您所在的机构暂未开通此部分的功能，请联系管理员