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[门静脉穿刺技术]
经颈静脉门静脉穿刺术
日期:2021-08-30 23:01:01
点击:665
关于标记门静脉 在长期的临床应用中,TIPS介入医生始终在尝试,使这一基本靠蒙的盲目的的操作,变得更为有目标性,从而缩短操作时间并增加其安全性。用于穿刺门静脉标记方法包括术前经皮门脉内植入标志物,作为经颈静脉穿刺门静脉的方向标志;实时超声引导,...
[可控扩张支架]
可控TIPS支架
日期:2021-08-30 22:55:08
点击:99
Controlled expansion stents: 控制扩张支架: Recently, a new controlled expansion stent has been introduced into clinical practice by Gore and associates (Viatorr controlled expansion endoprosthesis; VCX, Flagstaff, AZ, United States), whic...
[TIPS支架被动扩张和目标PSPG下降]
TIPS技术:随TIPS被动扩张导致目标PSPG下降
日期:2021-08-29 17:59:58
点击:99
Target PSPG reduction and passive expansion of under dilated TIPS stents: It has been found that barring few exceptions, patients with de novo or worsening HE after TIPS had PSPG of 12 mmHg, while those with rebleeding often had stent dysf...
[心肺状态]
TIPS 术前评估:心肺状况
日期:2021-08-25 14:48:49
点击:99
In advanced stages of cirrhosis, structural, and functional cardiac abnormalities occur. 在肝硬化的晚期,会发生结构上和功能上的心脏异常。 This cirrhosis associated cardiomyopathy (CCM) leads to impaired contractile responsiveness to stress...
[年龄]
TIPS患者选择的考虑(适应症)
日期:2021-08-25 08:53:47
点击:99
Initial studies identified advanced age as an independent predictor of early mortality after TIPS, attributing it to age-related physiologic decline in hepatic functional reserve, which might not be picked up on routine laboratory tests[16...
[新辅助TIPS]
TIPS适应症:外科术前/新辅助TIPS
日期:2021-08-18 15:55:53
点击:99
Extrahepatic surgery is associated with higher postoperative morbidity and mortality in patients with cirrhosis[137]. 肝外手术与肝硬化[137]患者术后发病率和死亡率较高相关。 The reported mortality is between 10% to 30%, while the perioperativ...
[乳糜胸腹水]
TIPS适应症:乳糜腹水和乳糜胸水
日期:2021-08-16 22:41:28
点击:99
Of all cases of cirrhosis-related ascites, only 0.5%-1% is chylous[112]. The underlying mechanism is believed to be excessive hepatic and gastrointestinal lymph flow and pressure secondary to PH, which may lead to spontaneous rupture of ser...
[门脉高压胃/肠病]
TIPS适应症:门脉高压胃病
日期:2021-08-11 11:09:33
点击:99
PHG is characterized by vascular ectasia, which appears as a mosaic-like pattern of gastric mucosa on endoscopy[58,59]. PHG的特点是血管扩张,在内镜[58,59]上呈胃黏膜马赛克样模式。 The reported prevalence of PHG ranges from 20%-98% in patien...
[异位静脉曲张出血]
TIPS适应症:异位静脉曲张
日期:2021-08-11 08:09:14
点击:99
The term ectopic varices are used to describe portosystemic collaterals located at sites other than the gastroesophageal region. 异位静脉曲张一词被用来描述位于胃食管区域以外部位的门体侧支。 Stomal varices are the most common, followed by s...
[孤立性胃静脉曲张]
TIPS适应症:孤立性胃静脉曲张
日期:2021-08-11 08:07:54
点击:99
已知孤立性胃静脉曲张存在于门静脉高压患者100多年【1】,然而只在过去20年才开始研究。很多问题依然未知。 1. 门静脉高压患者胃静脉曲张精确发生率 2. 几乎没有关于胃静脉曲张的自然病史信息。 3. 胃静脉曲张出血来自有或没有食道静脉曲张的确切情况不清 胃...
Rsch和他的同事们在行诊断性经颈内静脉胆管造影时,导管偶尔会进入肝内门脉分支,从而...
BRTO和TIPS目标是通过根本改变门静脉压力和门静脉血流动力学干预门静脉高压的并发症。...
胃静脉曲张及GOV1和GOV2急性出血者,若存在药物联合内镜治疗失败(失败率高)的高危因...