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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 | Effects of resistance training on the lipid profile in obese women显示文摘 | Costa R R Lima Alberton C Tagliari M Martins Kruel L F | 2011 | Journal of Sports Medicine and Physical Fitness2011，，1： | 2 |
| 3 | Photochemical responses and oxidative stress in the clones of Coffea canephora under water deficit conditions显示文摘 | Lima A L S DaMatta F M Pinheiro H A | 2002 | Environmental and Experimental Botany2002，47，23： | 1 |
| 4 | Photochemical responses and oxidative stress in two clones of Coffea canephora under water deficit conditions显示文摘 | LIMA A L S DAMATT F M PINHEIRO H A | 2002 | Environmental and Experimental Botany2002，47，： | 1 |
| 5 | Identification, expression and phylogenetic analysis of the Anticarsia gemmatalis, multicapsid nucleopolyhedrovirus ( AgMNPV ) helicase 显示文摘 | Lima L Pinedo F J Ribeiro B M | 2004 | Virus Genes2004，29，： | 1 |
| 6 | Mood swings in patients with Crohn's disease: incidence and associat ed factors显示文摘 | Lima F D Ribeiro T C Chebli L A | 2012 | Rev Assoc Med Bras2012，58，4： | 1 |
| 7 | 查看详情显示文摘 | Wang X F da Cunha Lima I C Lei X L | | 0，，： | 1 |
| 8 | A Mathematical model for evaluating the effect of wind on downward-spraying rainfall simulators显示文摘 | De Lima J L M P Torfs P J J F Singh V P | 2002 | Catena2002，46，4： | 1 |
| 9 | MW and Mvar management on supply and demand side for meeting voltage stability margin criteria显示文摘 | AFFONSO C M SILVA L C LIMA F G | 2004 | IEEE Trans on Power Systems2004，19，3： | 1 |
| 10 | A new Fusarium lineage within the Gibberellafujikuroi species complex is the main causal agent of mango malformation disease in Brazil显示文摘 | LIMA C S PFENNING L H COSTA S S CAMPOS M A LESLIE J F | 2009 | Plant Pathology2009，58，： | 1 |
| 11 | Extraction optimization and antinociceptive activity of( 1,3 )-15- D-glucan from Rhodotorula mucilaginosa显示文摘 | VALAQUES JUNIOR G L DE LIMA F O BOFFO E F | 2014 | Carbohydrate polymers2014，105，： | 1 |
| 12 | The use of response surface methodology in optimization of lactic acid production: focus on medium supplementation, temperature and pH control显示文摘 | de LIMA C J B COELHO L F CONTIERO J | 2010 | Food Technology and Biotechnology2010，48，2： | 1 |
| 13 | Prognostic factors and out- come for nasopharyngeal carcinoma 显示文摘 | Farias T P Dias F L Lima R A | 2003 | Arch Otolalyngol Head Neek Surg2003，129，7： | 1 |
| 14 | Prognostic value of high-sensitivity troponin I versus troponin T in acute coronarysyndromes显示文摘 | Correia L C Sodré F L Lima J C | | 0，，05： | 1 |
| 15 | 显示文摘 | Pavan F A Dias S L P Lima E C | 2008 | Dyes Pigments2008，76，： | 1 |
| 16 | Canoni- cal and noncanonical Wnt pathway : a comparison among normal ovary,benign ovarian tumor and ovarian cancer 显示文摘 | Badiglian Filho L Oshima CT De Oliveira Lima F | 2009 | Oncol Re- ports2009，21，2： | 1 |
| 17 | Thermal behaviour of succinic acid, sodium succinate and its compounds with some bivalent transition metal ions显示文摘 | Caires F Lima L Carvalho C | 2010 | Thermochimiea Acta2010，500，1： | 1 |
| 18 | A multi- ple bit upset tolerant SRAM memory 显示文摘 | Neuberger G De Lima F Carro L | 2003 | Acre Transactions on Design Automation of Electronic Systems2003，8，4： | 1 |
| 19 | Supracricoid laryngectomy with cricohyoidoepiglottopexy for advanced glottic cancer显示文摘 | LIMA R A FREITAS E Q DIAS F L | 2006 | Head Neck2006，28，： | 1 |
| 20 | Structural assessment of minor axis steel joints using photoelasticity and finite elements 显示文摘 | Lima L R O Freire J L F Vellasco P C G S | 2009 | Journal of Constructional Steel Research2009，65，2： | 1 |
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