Transjugular intrahepatic portosystemic shunt: A case report of rescue management of unrestrainable variceal bleeding in a pregnant woman

Digestive and Liver Disease

Volumn 40, Issue 5, 2008, Pages 387-390

  Lodato, F ^a   Cappelli, A ^a   Montagnani, M ^a   Colecchia, A ^a   Festi, D ^a   Azzaroli, F ^a   Compagnone, G ^a   Cecinato, P ^a   Golfieri, R ^a   Mazzella, G ^a  

^a UNIVERSITY OF BOLOGNA   (Italy)

Author keywords

Cirrhosis; Pregnancy; TIPS; Variceal bleeding

Indexed keywords

ALANINE AMINOTRANSFERASE; ALBUMIN; ASPARTATE AMINOTRANSFERASE; BETA ADRENERGIC RECEPTOR BLOCKING AGENT; CEFTAZIDIME; FRESH FROZEN PLASMA; HEMOGLOBIN; OCTREOTIDE; POLIDOCANOL; STEROID;

ADULT; ADULT RESPIRATORY DISTRESS SYNDROME; ARTERIAL PRESSURE; ARTICLE; AUTOPSY; BALLOON DILATATION; CASE REPORT; CESAREAN SECTION; CHILDBIRTH; DEATH; DOPPLER ECHOGRAPHY; EMERGENCY SURGERY; ERYTHROCYTE TRANSFUSION; ESOPHAGOGASTRODUODENOSCOPY; ESOPHAGUS VARICES BLEEDING; FEMALE; GESTATION PERIOD; HEART RATE; HEMATEMESIS; HEPATIC ARTERY LIGATION; HEPATIC VEIN; HOSPITAL ADMISSION; HUMAN; HYPOALBUMINEMIA; INTERNATIONAL NORMALIZED RATIO; LIVER CIRRHOSIS; MEDICAL DECISION MAKING; MORTALITY; NUCLEAR MAGNETIC RESONANCE IMAGING; PATIENT COUNSELING; PATIENT SAFETY; PORTAL VEIN; PORTOSYSTEMIC ANASTOMOSIS; PREGNANCY; RADIATION DOSE; RADIATION EXPOSURE; RESPIRATORY DISTRESS; RESPIRATORY TRACT DISEASE; SCLEROTHERAPY; THROMBOCYTE COUNT; TREATMENT FAILURE; TREATMENT INDICATION; VASCULAR PATENCY;

ADULT; DIAGNOSIS, DIFFERENTIAL; ENDOSCOPY, GASTROINTESTINAL; ESOPHAGEAL AND GASTRIC VARICES; FEMALE; FOLLOW-UP STUDIES; GASTROINTESTINAL HEMORRHAGE; HUMANS; MAGNETIC RESONANCE IMAGING; PORTASYSTEMIC SHUNT, TRANSJUGULAR INTRAHEPATIC; PREGNANCY; PREGNANCY COMPLICATIONS; ULTRASONOGRAPHY, DOPPLER;

EID: 41849122740     PISSN: 15908658     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.dld.2007.02.013     Document Type: Article

References (15)

1. Russell M.A., and Craigo S.D. Cirrhosis and portal hypertension in pregnancy. Semin Perinatol 22 (1998) 156-165
2. Homburg R., Bayer I., and Lurie B. Bleeding esophageal varices in pregnancy. A report of two cases. J Reprod Med 33 (1988) 784-786
3. Vangeli M., Patch D., and Burroughs A.K. Salvage tips for uncontrolled variceal bleeding. J Hepatol 37 (2002) 703-704
4. Protection ICoR. Protection of the patient in diagnostic radiology 1983.
5. Aggarwal N., Sawnhey H., Suril V., Vasishta K., Jha M., and Dhiman R.K. Pregnancy and cirrhosis of the liver. Aust N Z J Obstet Gynaecol 39 (1999) 503-506
6. Schrier R.W., Cadnapaphornchai M.A., and Ohara M. Water retention and aquaporins in heart failure, liver disease and pregnancy. J R Soc Med 94 (2001) 265-269
7. Easterling T.R., Carlson K.L., Schmucker B.C., Brateng D.A., and Benedetti T.J. Measurement of cardiac output in pregnancy by Doppler technique. Am J Perinatol 7 (1990) 220-222
8. van Oppen A.C., Stigter R.H., and Bruinse H.W. Cardiac output in normal pregnancy: a critical review. Obstet Gynecol 87 (1996) 310-318
9. Cheng Y.S. Pregnancy in liver cirrhosis and/or portal hypertension. Am J Obstet Gynecol 128 (1977) 812-822
10. Sanyal A.J., Freedman A.M., Luketic V.A., Purdum P.P., Shifman M.L., Tisnado J., et al. Transjugular intrahepatic portosystemic shunts for patients with active variceal hemorrhage unresponsive to sclerotherapy. Gastroenterology 111 (1996) 138-146
11. Tesdal I.K., Filser T., Weiss C., Holm E., Dueber C., and Jaschke W. Transjugular intrahepatic portosystemic shunts: adjunctive embolotherapy of gastroesophageal collateral vessels in the prevention of variceal rebleeding. Radiology 236 (2005) 360-367
12. Zweers D., Geleijns J., Aarts N.J., Hardam L.J., Lameris J.S., Schultz F.W., et al. Patient and staff radiation dose in fluoroscopy-guided TIPS procedures and dose reduction, using dedicated fluoroscopy exposure settings. Br J Radiol 71 (1998) 672-676
13. Wagner L.K., Eifel P.J., and Geise R.A. Potential biological effects following high X-ray dose interventional procedures. J Vasc Interv Radiol 5 (1994) 71-84
14. Parry R.A., Glaze S.A., and Archer B.R. The AAPM/RSNA physics tutorial for residents. Typical patient radiation doses in diagnostic radiology. Radiographics 19 (1999) 1289-1302
15. Wildberger J.E., Vorwerk D., Winograd R., Stargardt A., Busch N., and Gunther R.W. New TIPS placement in pregnancy in recurrent esophageal varices hemorrhage-assessment of fetal radiation exposure. Rofo 169 (1998) 429-431