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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 | Blind signal separation: statistical principles显示文摘 | Cardoso J F | 1998 | Proceedings of the IEEE1998，86，： | 2 |
| 3 | Blind Signal Separation:Statistical Principles显示文摘 | Cardoso J F | 1998 | Proceedings of the IEEE1998，9，10： | 1 |
| 4 | Blind Source Separadon--Semiparametric Statistical Approach显示文摘 | Amari S I Cardoso J F | 1997 | IEEE Tram on Signal Processing1997，45，11： | 1 |
| 5 | Outcome after stereotactic thalamotomy for dystonia and hemiballismus显示文摘 | Cardoso F Jankovic J Grossman RG | 1995 | Neurosurgery1995，36，3： | 1 |
| 6 | Infomax and Maximum Likelihood for Blind Souree Separation显示文摘 | Cardoso J F | 1997 | IEEE Signal Proeessing Letters1997，4，4： | 1 |
| 7 | Serum IGF-1 is insufficient to restore skeletal size in the total absence of the growth hormone receptor显示文摘 | Wu Y Sun H Basta-Pljakic J Cardoso L Kennedy OD Jasper H Domene H Karabatas L Guida C Schaffler MB Rosen CJ Yakar S | | 0，，： | 1 |
| 8 | Evaluation of HSV-tk gene therapy in a rat model of chemically induced hepatocellular carcinoma by intratumoral and intrahepatic artery routes显示文摘 | Gerolami R Cardoso J Lewin M | | 0，，： | 1 |
| 9 | Preparation of activated carbons from cork waste by chemical activation with KOH显示文摘 | Carbalho P A Cardoso B P Pires J | 2003 | Carbon2003，41，14： | 1 |
| 10 | Graft saving management of hepatic artery thrombosis in pediatric liver transplantation显示文摘 | Massault PP Soubrane O Cardoso J | 1997 | Transplant Proc1997，29，12： | 1 |
| 11 | Identification of a low-risk subgroup of HER-2-positive breast cancer by the 70-gene prognosis signature显示文摘 | Knauer M Cardoso F Wesseling J | 2010 | Br J Cancer2010，103，12： | 1 |
| 12 | A blind source separation technique using second-order Statistics 显示文摘 | BELOOUCHRANI A KARIM A M CARDOSO J F | 1997 | IEEE Trans Signal Process1997，45，2： | 1 |
| 13 | Distributions of indoor and outdoor air pollutants in Rio de Janeiro,Brazil:implications to indoor air quality in bayside offices显示文摘 | Brickus L S R Cardoso J N Neto F R D A | 1998 | Environ Sci Technol1998，32，： | 1 |
| 14 | Equivariant adaptive sourcese parathion显示文摘 | Cardoso J F Laheld B | 1996 | IEEE Trans Signal Processing1996，44，12： | 1 |
| 15 | Blind Beamforming for Non-GaussianSignals 显示文摘 | Cardoso J F Souloumiac A | 1993 | Radar and Signal Processing (S0956-375X)1993，140，6： | 1 |
| 16 | Bored strength ff se|t' - etch adhesives to dentin prepared with three diffren! diamond burs 显示文摘 | Ermis RB De Munek J Cardoso MY st al | 2008 | Dent Mater2008，24，7： | 1 |
| 17 | A blind source separation technique using second-order statistics显示文摘 | Belouchrani A Abed-Meraim K Cardoso J F | | 0，，02： | 1 |
| 18 | In situ FT-IR and ex situ EPR analysis for the study of the electroreduction of carbon dioxide in N, N-dimethylformamide on a gold interface显示文摘 | P6rez E R Garcia J R Cardoso D R | 2005 | J Electroanal Chem2005，578，1： | 1 |
| 19 | Equivariant adaptive source separation 显示文摘 | Cardoso J F | 1996 | IEEE Trans on Signal Processing1996，44，12： | 1 |
| 20 | Ultrasonic data compression via parameter estimation显示文摘 | Cardoso G Saniie J | 2005 | IEEE Transactions on Ultrasonics Ferroelectrics and Frequency Control2005，25，2： | 1 |
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