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| 1 | Embolization of splenorenal shunt associated to portal vein thrombosis and hepatic encephalopathy显示文摘Hepatic encephalopathy(HE)is a cognitive disturbance characterized by neuropsychiatric alterations.It occurs in acute and chronic hepatic disease and also in patients with portosystemic shunts.The presence of these portosystemic shunts allows the passage of nitrogenous substances from the intestines through systemic veins without liver depuration.Therefore,the embolization of these shunts has been performed tocontrol HE manifestations,but the presence of portal vein thrombosis is considered a contraindication.In this presentation we show a cirrhotic patient with severe HE and portal vein thrombosis who was submitted to embolization of a large portosystemic shunt.Case report:a 57 years-old cirrhotic patient who had been hospitalized many times for persistent HE and hepatic coma,even without precipitant factors.She had a wide portosystemic shunt and also portal vein thrombosis.The abdominal angiography confirmed the splenorenal shunt and showed other shunts.The larger shunt was embolized through placement of microcoils,and the patient had no recurrence of overt HE.There was a little increase of esophageal and gastric varices,but no endoscopic treatment was needed.Since portosystemic shunts are frequent causes of recurrent HE in cirrhotic patients,portal vein thrombosis should be considered a relative contraindication to perform a shunt embolization.However,in particular cases with many shunts and severe HE,we found that one of these shunts can be safely embolized and this procedure can be sufficient to obtain a good HE recovery.In conclusion,we reported a case of persistent HE due to a wide portosystemic shunt associated with portal vein thrombosis.As the patient had other shunts,she was successfully treated by embolization of the larger shunt. | Letícia de Campos Franzoni Fábio Cardoso de Carvalho Rafael Gomes de Almeida Garzon Fábio da Silva Yamashiro Laís Augusti Lívia Alves Amaral Santos Mariana de Souza Dorna Júlio Pinheiro Baima Talles Bazeia Lima Carlos Antonio Caramori Giovanni Faria Silva Fernando Gomes Romeiro | 2014 | World Journal of Gastroenterology2014，20，42： | 6 |
| 2 | Structural and Magnetic Study of Self-doped La1-x-yCaxφyMnO3显示文摘 | Figueiras F Araùjo J P Amaral V S | 2004 | Journal of Magnetism and Magnetic Materials2004，，： | 1 |
| 3 | Development and verification of a one-dimensional ablation code including pyrolysis gas flow 显示文摘 | Amar A J Blackwell B F Edwards J R | 2009 | Journal of Thermophysics and Heat Transfer2009，23，1： | 1 |
| 4 | Handgrip strength at ad- mission and time to discharge in medical and surgical inpatients 显示文摘 | Mendes J Azevedo A Amaral T F | 2013 | Journal of Parenteral and Enteral Nutrition2013，，： | 1 |
| 5 | Performance of polyaniline electro-synthesized in the presence of trichloroacetic acid as a battery cathode显示文摘 | Venancio E C Motheo A J Amaral F A | 2001 | J Power Sources2001，94，1： | 1 |
| 6 | A study on the mechanical behaviour of WC/Co hardmetals显示文摘 | FERREIRA J A M P1NA AMARAL M A ANTUNES F V COSTA J D M | 2009 | International Journal of Refractory Metals & Hard Materials2009，27，： | 1 |
| 7 | Metabolic endotoxemia initiates obesity and insulin resistance 显示文摘 | Cani PD Amar J Iglesias MA Poggi M Knauf C Bastelica D Neyrinck AM Fava F Tuohy KM Chabo C Waget A Delm6e E Cousin B Sulpice T Chamontin B Ferrieres J Tanti JF Gibson OR Casteilla L Delzenne NM Alessi MC Burcelin R | 2007 | Diabetes2007，56，7： | 1 |
| 8 | Development and verification of a one-dimensional ablation code including py- rolysis gas flow 显示文摘 | Amar A J Blackwell B F Edwards J R | 2009 | Journal of Thermophysics and Heat Transfer2009，23，1： | 1 |
| 9 | One-dimensional ablation using a full Newton’s method and finite control volume procedure显示文摘 | AMAR A J BLACKWELL B F EDWARDS J R | 2008 | Journal of Thermophysics and Heat transfer2008，22，1： | 1 |
| 10 | Phase transition in a restricted solid-on-solid surface-growth model in 2 + 1 dimensions显示文摘 | Amar J G and Family F Phys | 1990 | Rev Lett1990，64，： | 1 |
| 11 | The experimental development of an ultrasonically activated scalpel for laparoscopic use 显示文摘 | AMARAL J F | 1994 | Surg Laparosc Endosc1994，4，： | 1 |
| 12 | The experimental development of an ultrasonically activated scalpel for laparoscopic use显示文摘 | AMARAL J F | 1994 | Surg Laparosc Endosc1994，4，2： | 1 |
| 13 | Endoscopic adrenahctomy using ultrasonic cutting and coagulating 显示文摘 | ROYE G D MONCHIK J AMARAL J F | 2000 | Surg Technol Int2000，，： | 1 |
| 14 | The experimental development of an ultrasonically acti - vated scalpel for laparoscopic use 显示文摘 | AMARAL J F | 1994 | Surg Laparosc Endosc1994，4，2： | 1 |
| 15 | Structural and Magnetic Study of Self-doped La1-x-y Cax Фy MnO3 显示文摘 | F Figueiras J P Araujo V S Amaral | 2004 | Journal of magnetisation and Magnetic Materials2004，272，： | 1 |
| 16 | Wettability and sur- face change of Si3N4-bioglass composites in contact with simulated physiological liquids显示文摘 | Amaral M Lopes M A Santos J D Lilva R F | 2002 | 23 (20) : 4123-41292002，23，20： | 1 |
| 17 | Assessing TNT and DNT groundwater contamination by compound-specific isotope analysis and 3H-3He groundwater dating:a case study in Portugal显示文摘 | AMARAL H I F FERNANDES J BERG M | 2009 | Chemosphere2009，77，6： | 1 |
| 18 | Acute blood pressure elevations显示文摘 | Chamontin B Amar J Chollet F | 2000 | Arch Mal Coeur Vaisa2000，9311，： | 1 |
| 19 | Dopper-Based Ground Speed Sensor Fusion and Slip Control for a Wheeled Rover 显示文摘 | Lhomme-Desages D Grand C Amar F B Guinot J C | 2009 | IEEE/ASME Transaction on Mechatronics (S1083-4435)2009，14，4： | 1 |
| 20 | Development of an autonomous robot for gas storage spheres in- spection显示文摘 | OKAMOTO J J GRASSI J V AMARAL P F S | 2012 | Journal of Intelligent & Robotic Systems2012，66，12： | 1 |
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