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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 | Potential virulencefactors of Streptococcus dysgalactiae associated with bovinemastitis显示文摘 | Calvinho L F Almeida R A S P Oliver | 1998 | Vet Microbiol1998，61，： | 1 |
| 3 | Effects of paradoxical sleep deprivation on blood parameters associated with cardiovascular risk in aged rats 显示文摘 | Andersen M L Martins P G F D'Almeida V | 2004 | Exp Gerontol2004，39，6： | 1 |
| 4 | Performance Analysis of a Scheme for Concurrency/Synchronization Using Queueing Network Models显示文摘 | Almeida V A F Dowdy L W | 1986 | International Journal of Parallel Programming1986，15，6： | 1 |
| 5 | Effect of soil moisture and fertilization on Perola pineapple in Coastal Tableland areas of Brazil 显示文摘 | Souza L F D de Almeida O A Caldas R C | 2002 | Tropical Agriculture2002，79，2： | 1 |
| 6 | Novel in- sights into the genomic basis of citrus canker based on the genome sequences of two strains of Xanthomonas fuscans subsp, aurantifolii 显示文摘 | Moreira L M Almeida N F Potnis N | 2010 | BMC Genomics2010，11，1： | 1 |
| 7 | Determination of E-2-nonenal by high-performance liquid chromatography with UV detection assay for the evaluation of beer ageing显示文摘 | Santos J R Carneiro J R Guido L F Almeida P J Rodrigues J A Barros A A | 2003 | J Chromatog A2003，985，12： | 1 |
| 8 | Sorption ki- netics and equilibrium for the removal of nickel ions from aqueous phase on calcined Bofe bentonite clay 显示文摘 | Vieira M G A Almeida Neto A F Gimenes M L | 2010 | Joumal of Hazardous Ma- terials2010，177，123： | 1 |
| 9 | ,Inhibition of avian metapneumovirus (AMPV) replication by RNA interference targeting nucleoprotein gene (N) in cultured cells显示文摘 | Ferreira H L Spilki F R Almeida R S | 2007 | Antivir Res2007，74，1： | 1 |
| 10 | Raman Spectra and Structure of Fluoroaluminophosphate Glasses显示文摘 | Santos L F Almeida R M Tikhomirov V K | 2001 | J Non-Cryst Solids2001，284，： | 1 |
| 11 | Porcine circovirus 2 (PCV2) induces a procoagulant state in naturally infected swine and in cultured endothelial cells显示文摘 | Marks F S Reck J Jr Almeida L L | 2009 | Vet Microbiol2009，143，： | 1 |
| 12 | Speeding up backpropagation显示文摘 | Silva F M Almeida L B | 1990 | Advanced Nerual Computers1990，92，： | 1 |
| 13 | Internal suture technique for improving projection and stability in secondary gluteoplasty显示文摘 | JAIMOVICH C A ALMEIDA M W AGUIAR L F | 2010 | Aesthet Surg J2010，30，3： | 1 |
| 14 | Characterization and kinetic compensation effect of corn biodiesel显示文摘 | DANTAS M B ALMEIDA A A F CONCEICAO M M FERNANDES V J Jr SANTOS I M G SILVA F C SOLEDADE L F B SOUZA A G | 2007 | J Therm Anal Calorim2007，87，3： | 1 |
| 15 | Experimental design of 2, 4-diclorophenol oxidation by Fenton's reaction 显示文摘 | Oliveira R Almeida M F Santos L Madeira L M | 2006 | India English Chemical Research2006，45，4： | 1 |
| 16 | Structural analysis of Ti1-xSixNy nanocomposite films prepared by reactive magnetron sputtering显示文摘 | Vaz F Rebouta L Almeida B | 1999 | Surf Coat Techn1999，，： | 1 |
| 17 | Regulation of miR319during cold stress in sugarcane显示文摘 | Thiebaut F Rojas C A Almeida K L | 2012 | Plant Cell and Environment2012，35，3： | 1 |
| 18 | Photoelectrocatalytic/ photoelectro-Fenton coupling system using a nanostructured photoanode for the oxidation of a textile dye : Kinetics study and oxidation pathway显示文摘 | Almeida L C Silva B F Zanoni M V B | 2015 | Chemosphere2015，136，： | 1 |
| 19 | Structural analysis of Til-xSixNy nanocomposite films prepared by reactive magnetron sputtering显示文摘 | Vaz F Rebouta L Almeida B | 1999 | Surface & Coatings Technology1999，121，： | 1 |
| 20 | Volta- mmetric determination of free and total sulfur dioxide inbeer显示文摘 | Almeida P J Rodrigues J A Guido L F | 2003 | Electroanalysis2003，，15： | 1 |
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