| 胆道闭锁患儿肝移植术后门静脉狭窄的血管腔内治疗 |
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| 引用本文： | 张致远,金龙,陈广,苏天昊,王振常,朱志军,魏林,肖国文.胆道闭锁患儿肝移植术后门静脉狭窄的血管腔内治疗[J].中国介入影像与治疗学,2017,14(11):655-658. |
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| 作者姓名： | 张致远 金龙 陈广 苏天昊 王振常 朱志军 魏林 肖国文 |
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| 作者单位： | 首都医科大学附属北京友谊医院放射介入科, 北京 100050,首都医科大学附属北京友谊医院放射介入科, 北京 100050,首都医科大学附属北京友谊医院放射介入科, 北京 100050,首都医科大学附属北京友谊医院放射介入科, 北京 100050,首都医科大学附属北京友谊医院医学影像中心, 北京 100050,首都医科大学附属北京友谊医院肝移植中心, 北京 100050,首都医科大学附属北京友谊医院肝移植中心, 北京 100050,首都医科大学附属北京友谊医院放射介入科, 北京 100050 |
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| 摘 要： | 目的探讨血管腔内治疗在胆道闭锁患儿肝移植术后门静脉狭窄(PVS)治疗中的应用价值。方法收集因原发病为胆道闭锁接受肝移植、术后后发生PVS的患儿14例,均经门静脉造影证实,并接受经皮血管成形术和(或)经皮血管内支架成形术治疗。分析14例患儿血管腔内介入治疗的效果。结果 14例患儿共进行23次血管内腔内介入治疗,技术成功率82.61%(19/23)。10例患儿经1~2次球囊扩张治疗后治愈,4例患儿球囊扩张治疗后,行血管腔内支架成形术,支架植入后未发生狭窄。14例患儿均未出现治疗相关并发症。结论胆道闭锁患儿肝移植术后PVS的血管腔内介入治疗安全、有效。
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| 关 键 词： | 胆道闭锁 肝移植 门静脉狭窄 放射学 介入性 |
| 收稿时间： | 2017/6/9 0:00:00 |
| 修稿时间： | 2017/9/5 0:00:00 |
Endovascular treatment of portal vein stenosis after pediatric liver transplantation for biliary atresia |
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| ZHANG Zhiyuan,JIN Long,CHEN Guang,SU Tianhao,WANG Zhenchang,ZHU Zhijun,WEI Lin and XIAO Guowen.Endovascular treatment of portal vein stenosis after pediatric liver transplantation for biliary atresia[J].Chinese Journal of Interventional Imaging and Therapy,2017,14(11):655-658. |
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| Authors: | ZHANG Zhiyuan JIN Long CHEN Guang SU Tianhao WANG Zhenchang ZHU Zhijun WEI Lin and XIAO Guowen |
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| Affiliation: | Department of Interventional Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China,Department of Interventional Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China,Department of Interventional Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China,Department of Interventional Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China,Medical Imaging Center, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China,Department of Transplantation Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China,Department of Transplantation Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China and Department of Interventional Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China |
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| Abstract: | Objective To observe the value of endovascular treatment of portal vein stenosis (PVS) after pediatric liver transplantation for biliary artesia. Methods The data of 14 children with PVS after liver transplantation for biliary atresia were retrospectively evaluated. All children were confirmed by portal vein angiography, and were treated with 1-2 times of percutaneous transluminal angioplasty with or without percutaneous transluminal stent angioplasty. The effect of endovascular interventional therapy in 14 children was analyzed. Results A total of 14 children received 23 times of endovascular interventional therapy. The technical success rate of the first treatment was 82.61% (19/23). Ten children were treated with balloon dilatation, and stent angioplasty was performed in 4 children after balloon dilatation. These stents were not narrowed after implantation. There were no complications related to treatment in 14 cases. Conclusion Endovascular treatment for PVS after liver transplantation for biliary atresia is safe and effective. |
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| Keywords: | Biliary atresia Liver transplantation Portal vein stenosis Radiology interventional |
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