Endovascular surgery in the treatment of portal hypertension complications
https://doi.org/10.16931/1995-5464.2024-4-16-24
Abstract
Aim. To describe the main endovascular interventions used in portal hypertension. The paper presents modern endovascular procedures for treating patients with portal hypertension and varicose transformation of the esophageal and gastric veins: transjugular intrahepatic portosystemic shunt, balloon-occluded retrograde transvenous obliteration, balloon-occluded antegrade transvenous obliteration, partial embolization of the splenic arteries and gastric veins. The study extensively discusses the radical shunting surgery related to portal hypertension – transjugular intrahepatic portosystemic shunt. The paper involves historical aspects of the development of this treatment procedure, indications, techniques, variations depending on the nature of the disease and clinical situation, along with an analysis of the surgical approach in the event of endovascular intervention complications.
About the Authors
I. I. Zatevakhin
Pirogov Russian National Research Medical University of the Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
Igor I. Zatevakhin – Doct. of Sci. (Med.), Professor, Academician of the Russian Academy of Sciences, Head of the Department of Faculty Surgery, Pirogov Russian National Research Medical University.
1, Ostrivityanova str., Moscow 117997
V. N. Shipovskiy
Pirogov Russian National Research Medical University of the Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
Vladimir N. Shipovskiy – Doct. of Sci. (Med.), Professor, Department of Faculty Surgery, Pirogov Russian National Research Medical University.
1, Ostrivityanova str., Moscow 117997
M. Sh. Tsitsiashvili
Pirogov Russian National Research Medical University of the Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
Mihail Sh. Tsitsiashvili – Doct. of Sci. (Med.), Professor, Department of Faculty Surgery, Pirogov Russian National Research Medical University.
1, Ostrivityanova str., Moscow 117997
D. V. Monakhov
Pirogov Russian National Research Medical University of the Ministry of Healthcare of the Russian Federation; V.V. Pletnev City Clinical Hospital of Moscow Healthcare Department
Russian Federation
Russian Federation
Dmitry V. Monakhov – Cand. of Sci. (Med.), Associate Professor, Department of Faculty Surgery, Pirogov Russian National Research Medical University; Surgeon, Pletnev City Clinical Hospital.
1, Ostrivityanova str., Moscow 117997; 32, 11th Parkovaya str., Moscow 105077
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Review
For citations:
Zatevakhin I.I., Shipovskiy V.N., Tsitsiashvili M.Sh., Monakhov D.V. Endovascular surgery in the treatment of portal hypertension complications. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2024;29(4):16-24. (In Russ.) https://doi.org/10.16931/1995-5464.2024-4-16-24
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