[Experience of percutaneous transhepatic rheolytic thrombectomy using in treatment of postresection portal vein thrombosis]

Khirurgiia (Mosk). 2014:(9):17-22.
[Article in Russian]

Abstract

Vessels resection in case of pancreatic head cancer may be associated with portal vein thrombosis. System AngioJet 9000 (Possis Medical Inc.) for rheolytic thrombectomy is one of endovascular device for treatment of patients with venous thrombosis. Descriptions of 3 cases with rheolytic thrombectomy using are presented in the article. Percutaneous transhepatic approach under ultrasound control was used for visualization of portal vein branches. Stent-grafts were implanted in 2 of 3 cases after thrombectomy in zone of portal vein thrombosis. Bleeding from liver puncture site was observed in 1 case in early postoperative period. There was not recurrent thrombosis in long-term postoperative period (31 months after surgery maximally). The authors consider that use of several endovascular techniques such as rheolytic thrombectomy with stenting or without it provides satisfactory clinical results in treatment of patients with postoperative portal vein thrombosis.

Publication types

  • Case Reports

MeSH terms

  • Comparative Effectiveness Research
  • Endovascular Procedures / adverse effects
  • Endovascular Procedures / methods
  • Female
  • Humans
  • Intraoperative Care / methods
  • Male
  • Middle Aged
  • Pancreatic Neoplasms / pathology
  • Pancreatic Neoplasms / surgery*
  • Portal Vein / diagnostic imaging
  • Portal Vein / surgery
  • Postoperative Complications* / diagnosis
  • Postoperative Complications* / etiology
  • Postoperative Complications* / physiopathology
  • Postoperative Complications* / surgery
  • Postoperative Hemorrhage* / diagnosis
  • Postoperative Hemorrhage* / etiology
  • Postoperative Hemorrhage* / surgery
  • Radiography
  • Stents
  • Thrombectomy* / adverse effects
  • Thrombectomy* / methods
  • Treatment Outcome
  • Ultrasonography / methods
  • Vascular Grafting* / adverse effects
  • Vascular Grafting* / instrumentation
  • Vascular Grafting* / methods
  • Venous Thrombosis* / diagnosis
  • Venous Thrombosis* / etiology
  • Venous Thrombosis* / physiopathology
  • Venous Thrombosis* / surgery