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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 | Serum IGF-1 is insufficient to restore skeletal size in the total absence of the growth hormone receptor显示文摘 | Wu Y Sun H Basta-Pljakic J Cardoso L Kennedy OD Jasper H Domene H Karabatas L Guida C Schaffler MB Rosen CJ Yakar S | | 0，，： | 1 |
| 3 | Distributions of indoor and outdoor air pollutants in Rio de Janeiro,Brazil:implications to indoor air quality in bayside offices显示文摘 | Brickus L S R Cardoso J N Neto F R D A | 1998 | Environ Sci Technol1998，32，： | 1 |
| 4 | The use of amniotic membrane in the repair of duodenal wounds in Wistar rats显示文摘 | Schimidt L R Cardoso E J Schimidt R R | 2010 | Acta Cir Bras2010，25，1： | 1 |
| 5 | Immobilization studies of an industrial penicillin acylase preparation on a silica carrier 显示文摘 | FONSECA L P CARDOSO J P CABRAL J M S | 1993 | J Chem Technol Biotechnol1993，58，1： | 1 |
| 6 | A novel kinetic study of H3PW12O40-catalyzed oleic acid esterification with methanol via 1H NMR spectroscopy 显示文摘 | Fermande S A Cardoso A L Silva M J | 2012 | Fuel Processing Technology2012，96，： | 1 |
| 7 | Genomic profiling by DNA amplification of laser capture microdissected tissues and array CGH显示文摘 | Cardoso J Molenaar L de Menezes RX | 2004 | Nucleic Acids Res2004，32，19： | 1 |
| 8 | NT-proBNP levels in patients with Non-ST-segment elevation acute coronary syndrome 显示文摘 | CASTRO L R ALENCAR M C BARBOSA M M NUNES MDO C CARDOSO J R RIBEIRO A L | 2011 | Arq Bras Cardiol2011，97，6： | 1 |
| 9 | Immobilization of an industrial penicillin acylase preparation on a silica carrier显示文摘 | Fonseca L P Cardoso J P Cabral J M S | 1993 | J Chem Tech Biotechnol1993，58，： | 1 |
| 10 | Power transformers winding fault diagnosis by the on-load exciting current Extended Park's vector approach显示文摘 | OLIVEIRA L M R CARDOSO A J M CRUZ S M A | | 0，，06： | 1 |
| 11 | Extracellular matrix remodelling properties of human fibrocytes 显示文摘 | Bianchetti L Barczyk M Cardoso J el al | 2012 | J Cell Mol Med2012，16，3： | 1 |
| 12 | Interleukin-7 promotes survival and cell cycle progression of T-cell acute lymphoblastic leukemia cells by down-regulating the cyclin-dependent kinase inhibitor p27(kipl)显示文摘 | Barata J T Cardoso A A Nadler L M | 2005 | Blood2005，98，： | 1 |
| 13 | Low temper- ature conversion of rice husks, eucalyptus sawdust and peach stones for the production of carbon-like adsorbent显示文摘 | Martins A F Cardoso A de L Stahl J A etal | 2007 | Bio-re source Technology2007，98，5： | 1 |
| 14 | Diagnostic Evidence for the Presence of β-Agonists Using Two Consecutive Derivatization Procedures and Gas Chromatography-Mass Spectrometric Analysis显示文摘 | Damasceno L Ventura R Cardoso J | 2002 | J Chromatogr B2002，780，1： | 1 |
| 15 | Effect of recycled PET in the fracture mechanics of polymer mortar 显示文摘 | Reis J M L Chianelli -Junior R Cardoso J L et at | 2011 | Construction and Building Materials2011，25，6： | 1 |
| 16 | Regulation of early lung morphogene-sis:questions,facts and controversies显示文摘 | Cardoso W V LüJ | | 0，，09： | 1 |
| 17 | The pinewood nematode, Bursaphelenchus xylophilus, in Madeira Island 显示文摘 | Fonseca L Cardoso J Lopes A | 2012 | Helmintholo- gia2012，49，2： | 1 |
| 18 | Quality characteristics of high pressure-induced hake (Merluccius capensis) protein gels with and without MTGase 显示文摘 | Cardoso C L Mendes R O Saraiva J A | 2010 | Journal of Aquatic Food Product Technology2010，19，34： | 1 |
| 19 | Structural behaviour and parametric study of reinforced embankments on soft clays显示文摘 | BORGES J L CARDOSO A S | 2001 | Computers and Geotechnics2001，28，3： | 1 |
| 20 | The use of NIR as amulti-parametric in situ monitoring technique in filamentous fer-mentation systems显示文摘 | Rodrigues L O Vieira L Cardoso J P | 2008 | Talanta2008，75，15： | 1 |
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