| Revista: | Annals of hepatology |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000411846 |
| ISSN: | 1665-2681 |
| Autors: | Vizzutti, Francesco1 Rega, Luigi2 Arena, Umberto1 Romanelli, Roberto Giulio1 Meucci, Francesco3 Barletta, Giuseppe3 Schepis, Filippo4 Tsalouchos, Aris1 Laffi, Giacomo1 Marra, Fabio1 |
| Institucions: | 1Universita di Firenze, Dipartimento di Medicina Clinica e Sperimentale, Florencia, Toscana. Italia 2Azienda Ospedaliero Universitaria Careggi, Dipartimento di Radiologia, Florencia, Toscana. Italia 3Azienda Ospedaliero Universitaria Careggi, Dipartimento di Cardiologia, Florencia, Toscana. Italia 4Universita di Modena e Reggio Emilia, Módena. Italia |
| Any: | 2015 |
| Període: | Ene-Feb |
| Volum: | 14 |
| Número: | 1 |
| Paginació: | 127-131 |
| País: | México |
| Idioma: | Inglés |
| Tipo de documento: | Artículo |
| Enfoque: | Caso clínico, descriptivo |
| Resumen en inglés | No definitive indications are provided in the literature for pre-TIPS patient workup, which is often limited to prevent the incidence of refractory hepatic encephalopathy or unacceptable deterioration of liver function. Concerning cardiologic workup, efforts are generally limited at excluding ventricular failure or porto-pulmonary hypertension. The cases presented herein focus the attention of the readers on the possible occurrence of post-TIPS paradoxical embolization in the presence of a patent foramen ovale, frequently recognized in adult population. In conclusion, although this complication has been already reported in literature, in the present manuscript we concentrate on possible additional risk factors which may allow to identify a subset of patients with a higher likelihood to experience paradoxical embolization following TIPS. Another important line of information presented herein is the feasibility of percutaneous closure of a patent foramen ovale before TIPS deployment in the presence of portal vein thrombosis and possibly with additional risk factors |
| Disciplines | Medicina |
| Paraules clau: | Cirugía, Gastroenterología, Sistema cardiovascular, Derivación intrahepática portosistémica transyugular, Embolización, Factores de riesgo |
| Keyword: | Medicine, Cardiovascular system, Gastroenterology, Surgery, Transjugular intrahepatic portosystemic shunt, Embolization, Risk factors |
| Text complet: | Texto completo (Ver PDF) |
