Analysis of the short-and medium-term curative effect of TIPS approach combined with AngioJet thrombus aspiration technology treatment in acute portal vein thrombosis
10.3760/cma.j.cn501113-20200804-00435
- VernacularTitle:经颈静脉肝内门体分流术联合AngioJet血栓抽吸技术治疗急性门静脉血栓的中短期疗效分析
- Author:
Dongbin ZHANG
1
;
Kewei ZHANG
;
Danghui LU
;
Weixiao LI
;
Rutao XU
;
Kun LI
;
Kai LIANG
;
Mingzhe CUI
;
Junjiao DONG
;
Mingge LI
;
Shuiting ZHAI
;
Tianxiao LI
Author Information
1. 河南省人民医院血管外科 郑州大学附属人民医院血管外科 河南省介入治疗中心，郑州 450003
- Keywords:
TIPS;
AngioJet;
acute portal vein thrombosis
- From:
Chinese Journal of Hepatology
2021;29(8):754-758
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the short- and medium-term clinical efficacy of TIPS approach combined with AngioJet thrombus aspiration technology treatment in acute portal vein thrombosis.Methods:63 cases with acute portal vein thrombosis treated in our center from May 2017 to July 2019 were studied retrospectively, including 49 males and 14 females, aged 35-61 (46 ± 5) years. TIPS approach (with/without) combined with Angiojet thrombus aspiration and gastroesophageal varices embolization was performed simultaneously according to the patient's condition. Regular follow-up for 3-33 (22 ± 3) months after surgery was used to observe the curative effect.Results:The technical success rate was 100%. Portal vein and superior mesenteric vein blood flow were returned to normal after the operation. Two cases of biliary tract injury were untreated. Simultaneously, two cases of intrahepatic arteriovenous fistula were treated with superselective arterial embolization. During the follow-up period, 47 cases (74.61%) had complete portal vein recanalization, 13 cases (20.63%) had partial recanalization, 3 cases (4.76%) had complete portal cavernoma, 7 cases (11.11%) had symptomatic hepatic encephalopathy, 1 case had received artificial liver treatment (1.59%), 1 case had peptic ulcer (11.11%), 6 cases (9.52%) had lost to follow-up, and there was no portal hypertension-related bleeding or death.Conclusion:TIPS approach combined with AngioJet thrombus aspiration technology is safe, effective and feasible in the treatment of acute portal vein thrombosis, and the short- and medium-term clinical effects are satisfactory.
