Imaging and radiological interventions of portal vein thrombosis

DOI Web Site 被引用文献1件
  • N. Hidajat
    Central Department of Diagnostic and Interventional Radiology, Hospital Peine, Academic Teaching Hospital of the University of Hannover; Department of Radiology, University Hospital Charité Campus Virchow Clinic, Humboldt‐University of Berlin, Germany
  • H. Stobbe
    Central Department of Diagnostic and Interventional Radiology, Hospital Peine, Academic Teaching Hospital of the University of Hannover; Department of Radiology, University Hospital Charité Campus Virchow Clinic, Humboldt‐University of Berlin, Germany
  • V. Griesshaber
    Central Department of Diagnostic and Interventional Radiology, Hospital Peine, Academic Teaching Hospital of the University of Hannover; Department of Radiology, University Hospital Charité Campus Virchow Clinic, Humboldt‐University of Berlin, Germany
  • R. Felix
    Central Department of Diagnostic and Interventional Radiology, Hospital Peine, Academic Teaching Hospital of the University of Hannover; Department of Radiology, University Hospital Charité Campus Virchow Clinic, Humboldt‐University of Berlin, Germany
  • R‐J. Schroder
    Central Department of Diagnostic and Interventional Radiology, Hospital Peine, Academic Teaching Hospital of the University of Hannover; Department of Radiology, University Hospital Charité Campus Virchow Clinic, Humboldt‐University of Berlin, Germany

書誌事項

公開日
2005-07
権利情報
  • http://journals.sagepub.com/page/policies/text-and-data-mining-license
DOI
  • 10.1080/02841850510021157
公開者
SAGE Publications

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説明

<jats:p>Portal vein thrombosis (PVT) is diagnosed by imaging methods. Once diagnosed by means of ultrasound, Doppler ultrasound can be performed to distinguish between a benign and malignant thrombus. If further information is required, magnetic resonance angiography or contrast‐enhanced computed tomography is the next step, and if these tests are unsatisfactory, digital subtraction angiography should be performed. Many papers have been published dealing with alternative methods of treating PVT, but the material is fairly heterogeneous. In symptomatic non‐cavernomatous PVT, recanalization using local methods is recommended by many authors. Implantation of transjugular intrahepatic portosystemic shunt is helpful in cirrhotic patients with non‐cavernomatous PVT in reducing portal pressure and in diminishing the risk of re‐thrombosis. In non‐cirrhotic patients with recent PVT, some authors recommend anticoagulation alone. In chronic thrombotic occlusion of the portal vein, local measures may be implemented if refractory symptoms of portal hypertension are evident.</jats:p>

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