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Digestive Disease Interventions 2023; 07(02): 081-088
DOI: 10.1055/s-0043-1761634
Review Article

Portal Vein Interventions for Portal Hypertension: Complications and Management

Paula M. Novelli 
1   Division of Interventional Radiology, Department of Radiology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
,
Jason Polder
2   University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania
,
Claire Kaufman
3   OHSU Dotter Interventional Institute, Portland, Oregon
,
Philip D. Orons
1   Division of Interventional Radiology, Department of Radiology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
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Abstract

Percutaneous management of complications of portal hypertension entails reducing portal pressures, controlling varices, and redirecting collateral flow using embolization, obliterative, restorative, recanalization, and shunt creation techniques. Management is based on the clinical status and symptoms and the physiologic and anatomic abnormalities causing portal hypertension. This article briefly describes percutaneous management strategies, their results, and related iatrogenic and physiologic complications.

Keywords

portal hypertension - transjugular intrahepatic portosystemic shunt - balloon-occluded retrograde transvenous obliteration - encephalopathy


Publication History

Received: 16 October 2022

Accepted: 22 December 2022

Article published online:
17 February 2023

© 2023. Thieme. All rights reserved.

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