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1Transjugular intrahepatic portosystemic shunt for the management of acute variceal hemorrhage显示文摘Acute variceal hemorrhage,a life-threatening condition that requires a multidisciplinary approach for effective therapy,is defined as visible bleeding from an esophageal or gastric varix at the time of endoscopy,the presence of large esophageal varices with recent stigmata of bleeding,or fresh blood visible in the stomach with no other source of bleeding identified.Transfusion of blood products,pharmacological treatments and early endoscopic therapy are often effective;however,if primary hemostasis cannot be obtained or if uncontrollable early rebleeding occurs,transjugular intrahepatic portosystemic shunt(TIPS)is recommended as rescue treatment.The TIPS represents a major advance in the treatment of complications of portal hypertension.Acute variceal hemorrhage that is poorly controlled with endoscopic therapy is generally well controlled with TIPS,which has a 90%to 100%success rate.However,TIPS is associated with a mortality of 30%to 50%in such a setting.Emergency TIPS should be considered early in patients with refractory variceal bleeding once medical treatment and endoscopic sclerotherapy failure,before the clinical condition worsens.Furthermore,admission to specialized centers is mandatory in such a setting and regional protocols are essential to be organized effectively.This review article discusses initial management and then focuses on the specific role of TIPS as a primary therapy to control acute variceal hemorrhage,particularly as a rescue therapy following failure of endoscopic approaches.Romaric Loffroy Louis Estivalet Violaine Cherblanc Sylvain Favelier Pierre Pottecher Samia Hamza Anne Minello Patrick Hillon Pierre Thouant Pierre-Henri Lefevre Denis Krausé Jean-Pierre Cercueil 2013World Journal of Gastroenterology2013,19,37:25
2Endovascular management of visceral artery aneurysms: When to watch, when to intervene?显示文摘Visceral artery aneurysms(VAA) include splanchnic and renal artery aneurysms. They represent a rare clinical entity, although their detection is rising due to an increased use of cross-sectional imaging. Rupture is the most devastating complication, and is associated with a high morbidity and mortality. In addition, increased percutaneous endovascular interventions have raised the incidence of iatrogenic visceral artery pseudoaneurysms(VAPAs). For this reason, elective repair is preferable in the appropriately chosen patient. Controversy still exists regarding their treatment. Over the past decade, there has been steady increase in the utilization of minimally invasive, non-operative interventions, for vascular aneurysmal disease. All VAAs and VAPAs can technically be fixed by endovascular techniques but that does not mean they should. These catheter-based techniques constitute an excellent approach in the elective setting. However, in the emergent setting it may carry a higher morbidity and mortality. The decision for intervention has to take into account the size and the natural history of the lesion, the risk of rupture, which is high during pregnancy, and the relative risk of surgical or radiological intervention. For splanchnic artery aneurysms, we should recognize that we are not, in reality, well informed about their natural history. For most asymptomatic aneurysms, expectant treatment is acceptable. For large, symptomatic or aneurysms with a high risk of rupture, endovascular treatment has become the firstline therapy. Treatment of VAPAs is always mandatory because of the high risk of rupture. We present our point of view on interventional radiology in the splanchnic arteries, focusing on what has been achieved and the remaining challenges.Romaric Loffroy Sylvain Favelier Pierre Pottecher Pierre-Yves Genson Louis Estivalet Sophie Gehin Jean-Pierre Cercueil Denis Krausé 2015World Journal of Radiology2015,7,7:11
3Novel imaging biomarkers of response to transcatheter arterial chemoembolization in hepatocellular carcinoma patients显示文摘Hepatocellular carcinoma(HCC)is the third most common cause of cancer death worldwide(1).Most patients present with intermediate or advanced disease that is not amenable to curative treatment,and the median survival in this group is 6-8 months(2).Several studies and welldesigned randomized trials have shown a positiveSylvain Favelier Louis Estivalet Pierre Pottecher Romaric Loffroy 2015Chinese Journal of Cancer Research2015,27,6:2
4Le syndrome du compariment abdominal显示文摘Pottecher T Segura P Launoy A 2001Ann Chir2001,126,3:1
5Anesthetic management in case of pervious cesarean section显示文摘Diemunsch P Pottecher J Chassard D 2012J Gyneeol Obstet Biol Re- prod (Paris)2012,41,8:1
6Extensive pulmonary embolism after severe postpartum haemor rhage: man- agement with an inferior vena cava filter 显示文摘Bilger A Pottecher J Greget M 2014Int J Obstet Anesth2014,23,4:1
7Abdominal compartment syndrome 显示文摘Pottecher T Segura P Launoy A 2001Ann Chir2001,126,3:1
8Abdominal compartment syndrome显示文摘Pottecher T Segura P Launoy A 2001Ann Chir2001,126,3:1
9Lesyndrome du compariment abdominal显示文摘Pottecher T Segura P Launoy A 2001Ann Chit2001,126,3:1
10Both passive leg raising and intravascular volume expansion improve sublingual microcircu- latory perfusion in severe sepsis and septic shock patients显示文摘Pottecher J Deruddre S Teboul JL 2010In- tensive Care Med2010,36,11:1
11Transcatheter arterial embolization for acute nonvariceal upper gastrointestinal bleeding:Indications,techniques and outcomes显示文摘Loffroy R Favelier S Pottecher P 2015Diagn Interv Imaging2015,96,78:1
12Abdominal compartment syndrome 显示文摘Pottecher T Segura P Launoy A 2001Ann Chir2001,126,3:1
13Abdominal compartment syndrome显示文摘Pottecher T Segura P Launoy A 0,,03:1
14Exclusive Low-Molecular-Weight Heparin as Bridging Anticoagulant After Mechanical Valve Replacement显示文摘Michel Kindo Sébastien Gerelli Tam Hoang Minh Min Zhang Nicolas Meyer Tarek Announe Jonathan Bentz Ziad Mansour Arnaud Mommerot Hélène Petit-Eisenmann Hélène Kremer Olivier Collange Julien Pottecher Mircea Cristinar Jean-Claude Thiranos Philippe Billaud J 2013The Annals of Thoracic Surgery2013,,:1
15Lesyndrome du compariment abdominal显示文摘pottecher T Segura P Launoy A 2001Ann Chir2001,126,3:1
16Abdominal compartment syndrome显示文摘Pottecher T Segura P Launoy A 2001Ann Chir2001,126,3:1
17Le syndrome du compartiment abdominal 显示文摘Pottecher T Segura P Launoy A 2001Ann Chir2001,126,:1
18Lesyndrome du compariment abdominal显示文摘 Segura P Launoy A 2001Ann Chir2001,126,3:1
19Abdominal compartment syndrome显示文摘Pottecher T Segura P Launoy A 2001Ann Chir2001,126,:1
20Le syndrome du dompartiment,abdominal显示文摘Pottecher T Segura P Launoy A 2001Ann Chir2001,48,7:1
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