Embolization of splenorenal shunt associated to portal vein thrombosis and hepatic encephalopathy

Distal splenorenal shunt for portal vein thrombosis after liver transplantation.

A 17-yr-old female received a liver transplant for type I glycogen storage disease. A year later, when she experienced variceal gastrointestinal hemorrhage, an angiogram revealed thrombosis of the portal vein with hepatopetal collateral channels. A distal splenorenal shunt was performed because of failure of sclerotherapy to control subsequent bleeding episodes and the fact that the liver funct...

noncirrhotic portal vein thrombosis presenting with hepatic encephalopathy due to polycythemia vera and mri findings

no abstract

Splenic Vein Embolization Using Coil Anchors and Prophylactic Occlusion of a Hepatofugal Collateral for Hepatic Encephalopathy due to Splenorenal Shunt: Technical Note and Literature Review

Purpose. Interventional treatment strategies for patients with encephalopathy due to splenorenal shunt remain controversial. Portosplenic blood flow separation by occluding the splenic vein could avoid the complication of severe portal hypertension, but it would require repeated reintervention due to recurrence of symptoms. This paper describes occlusion of the splenic vein using coil anchors a...

Noncirrhotic Portal Vein Thrombosis Presenting with Hepatic Encephalopathy Due to Polycythemia Vera and MRI Findings

Effects of restoring portal flow with anticoagulation and partial splenorenal shunt embolization.

S pontaneous portosystemic shunt (PSS) from portal hypertension is associated with portal vein (PV) stasis and chronic hepatic encephalopathy (HE). Embolization of PSS is effective in select cases of refractory HE, but is relatively contraindicated in patients with portal vein thrombosis (PVT) (Table 1). This procedure redirects significant blood flow back through the PV and has been reported t...