Interventional precision shunting for portal hypertension
10.3969/j.issn.1008-794X.2024.10.001
- VernacularTitle:门静脉高压介入性精准分流
- Author:
Jingqin MA
1
;
Jianjun LUO
;
Zhiping YAN
Author Information
1. 200032 上海 复旦大学附属中山医院介入治疗科、国家放射与治疗临床研究中心、上海市影像医学研究所
- Keywords:
interventional shunting;
transjugular intrahepatic portosystemic shunt;
precision shunting;
portal hypertension;
portal pressure gradient
- From:
Journal of Interventional Radiology
2024;33(10):1045-1048
- CountryChina
- Language:Chinese
-
Abstract:
Portal hypertension is a pathological elevation of portal pressure gradient(PPG),often leading to severe complications.Interventional shunting such as transjugular intrahepatic portosystemic shunt(TIPS)has gradually become an important means of treatment,but the postoperative hemodynamic changes are uncertain,therefore,individualized treatment scheme with precision shunting is needed.The purpose of precision shunting is to balance the amount of shunting blood with the amount of blood perfusion in the liver tissue,which can minimize the incidence of complications while relieving symptoms.The determination of hemodynamic goals after interventional shunting is influenced by various factors,and the procedural differences and individual variances should be taken into consideration when making reasonable postoperative hemodynamic targets(optimal PPG).The preliminary results of clinical practice of precision shunting indicates that accurate measurement of preoperative portal pressure and effective monitoring of postoperative hemodynamic status should be emphasized.Future studies should further improve the interventional shunting technique to achieve a more individualized precision treatment.
