Abstract
A stenosis of a side-to-side splenorenal shunt was treated by percutaneous angioplasty two years after the performance of the shunt. After dilatation, there was a fall of the splenorenal pressure gradient from 28 to 17 cm H2O and good transanastomotic flow was re-established. As in other arterial and venous territories, angioplasty may be an interesting alternative to surgery.
Get full access to this article
View all access options for this article.
References
1.
Bredfeldt
J. E.
Pingoud
E. G.
Groszmann
R. J.
Tilson
M. D.
Conn
H. O.
: Balloon dilatation of stenotic portacaval anastomosis . Hepatology
5 (1981 ), 448 .
2.
Cope
C.
: Balloon dilatation of closed mesocaval shunts . Amer. J. Roentgenol.
135 (1980 ), 989 .
3.
Cope
C.
Dilatation of mesocaval shunts . Ann. Radiol.
29 (1986 ), 178 .
4.
Glanz
S.
Gordon
D.
Butt
K. M.
Hong
J.
Adamsons
R.
Sclafani
S. J.
: Dialysis access fistulas. Treatment of stenoses by transluminal angioplasty . Radiology
152 (1984 ), 637 .
5.
Glanz
S.
Gordon
D.
Butt
K. M.
Hong
J.
Adamsons
R.
Sclafani
S. J.
Stenotic lesions in dialysis-access fistulas. Treatment by transluminal angioplasty using high-pressure balloons . Radiology
156 (1985 ), 236 .
6.
Gordon
D. H.
Glanz
S.
Butt
K. M.
Adamsons
R. J.
Koenig
M. A.
: Treatment of stenotic lesions in dialysis access fistulas and shunts by transluminal angioplasty . Radiology
143 (1982 ), 53 .
7.
Grippon
P.
Duche
M.
Aboulker
C.
Tubiana
J. M.
Levy
V. G.
: Syndrome de Budd-Chiari et obstruction membraneuse de la veine cave inférieure sus-hépatique. Traitement par angioplastie intra-luminale percutanée . Gastroenterol. Clin. Biol.
9 (1985 ), 70 .
8.
Henderson
J. M.
El Khishen
M. A.
Millikan
W. J.
Sones
P. J.
Warren
W. D.
: Management of stenosis of distal splenorenal shunt by balloon dilation . Surg. Gynecol. Obstet.
157 (1983 ), 43 .
9.
Hunter
D. W.
Castaneda-Zuniga
W. R.
Coleman
C. C.
et coll.: Failing arteriovenous dialysis fistulas. Evaluation and treatment . Radiology
152 (1984 ), 631 .
10.
Järhult
J.
Forsberg
L.
Lunderquist
A.
: Budd-Chiari syndrome. Report of a case, successfully treated with a meso-caval shunt . Acta Chir. Scand.
150 (1984 ), 105 .
11.
Jeans
W. D.
Bourne
J. T.
Read
A. E.
: Treatment of hepatic vein and inferior vena caval obstruction by balloon dilatation . Brit. J. Radiol.
56 (1983 ), 687 .
12.
Lock
J. E.
Bass
J. L.
Castaneda-Zuniga
W.
Fuhrman
B. P.
Rashkind
W. J.
Lucas
R. V.
: Dilation angioplasty of congenital or operative narrowings of venous channels . Circulation
70 (1984 ), 457 .
13.
Meier
W. L.
Waller
R. M.
Sones
P. J.
: Budd-Chiari web treated by percutaneous transluminal angioplasty . Amer. J. Roentgenol.
137 (1981 ), 1257 .
14.
Novelline
R. A.
: Percutaneous transluminal angioplasty . Newer applications. Amer. J. Roentgenol.
135 (1980 ), 983 .
15.
Reuter
S. R.
Redman
H. C.
Cho
K. J.
: Gastrointestinal angiography , p. 434 . Saunders , Philadelphia
1986 .
16.
Rocchini
A. P.
Cho
K. J.
Byrum
C.
Heidelberger
K.
: Transluminal angioplasty of superior vena cava obstruction in a 15 month-old child . Chest
82 (1982 ), 506 .
17.
Sawada
S.
Oshima
T.
Kato
T.
Kubota
Y.
Tanaka
Y.
: Budd-Chiari syndrome treated by percutaneous transluminal angioplasty . Acta Radiol. Diagnosis
26 (1985 ), 25 .
18.
Sherry
C. S.
Diamond
N. G.
Meyers
T. P.
Martin
R. L.
: Successful treatment of superior vena cava syndrome by venous angioplasty . Amer. J. Roentgenol.
147 (1986 ), 834 .
19.
Uflacker
R.
Alves
M. A.
Cantisani
G. G.
Souza
H. P.
Wagner
J.
Morales
L. F.
: Treatment of portal vein obstruction by percutaneous transhepatic angioplasty . Gastroenterology
88 (1985 ), 176 .
20.
Uflacker
R.
Alves
M. A.
Cantisani
G. G.
Souza
H. P.
Wagner
J.
Morales
L. F.
Francisconi
C. F.
Rodriguez
M. P.
Amaral
N. M.
: Percutaneous transluminal angioplasty of the hepatic veins for treatment of Budd-Chiari syndrome . Radiology
153 (1984 ), 641 .
21.
Yamada
R.
Sato
M.
Kawabata
M.
Nakatsuka
H.
Nakamura
K.
Kobayashi
N.
: Segmental obstruction of the hepatic vena cava treated by transluminal angioplasty . Radiology
149 (1983 ), 91 .