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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 | Freeze/thaw effects in PEM fuel cells显示文摘 | MUKUNDAN R KIM Y S GARZON F | 2006 | Meet Abstr Electrochem Soc2006，502，： | 1 |
| 3 | Dense Diffusion Barrier Limiting Current Oxygen Sensors显示文摘 | Garzon F Raistriek I Brosha E | 1998 | Sensors and Actuators B1998，50，： | 1 |
| 4 | MicroRNA fin-gerprints during human megakaryocytopoiesis 显示文摘 | GARZON R PICHIORRI F PALUMBO T et ai | 2006 | Proc Natl AcadSci USA2006，103，13： | 1 |
| 5 | Optimal building evacuation time considering evacuation routes 显示文摘 | PURSALS S C GARZON F G | 2009 | European Journal of Operational Research2009，192，2： | 1 |
| 6 | PEM fuel cell electrocatalyst durability measurements 显示文摘 | BORUP R L DAVEY J R GARZON F H | 2006 | J Power Sources2006，163，： | 1 |
| 7 | Dense diffusion bar- rier limiting current oxygen sensors 显示文摘 | GARZON F RAIST RICK I BROSHA E | 1998 | Sens Actuators B1998，50，： | 1 |
| 8 | MicroRNA gene expression during retinoic acid - induced differentiation of human acute pro- myelocytic leukemia显示文摘 | Garzon R Pichiorri F Palumbo T | 2007 | Oncogene2007，26，： | 1 |
| 9 | MicroRNA gene expression during retinoic acid-induced differentiation of hu- man acute promyeloeytic Ieukeia显示文摘 | Garzon R Pichiorri F Palumbo T | 2007 | Oncogene2007，26，28： | 1 |
| 10 | Ionomer segregation in composite meas and its effect on polymer electrolyte fuel cell performance显示文摘 | Xie Jian Garzon F Zawodzinski T | 2004 | J Electrochem Soc2004，151，7： | 1 |
| 11 | Ionomer segregation in composite MEAs and its effect on polymer electrolyte fuel cell performance 显示文摘 | XIE J GARZON F ZAWODZINSKI T | 2004 | J Electrochem Soc2004，151，7： | 1 |
| 12 | MicroRNA fingerprints during human megakaryocytopoiesis显示文摘 | Garzon R Pichiorri F Palumbo T | 2006 | Proc Natl Acad Sci USA2006，103，13： | 1 |
| 13 | Surface area loss of supported platinum in polymer electrolyte fuel ceils 显示文摘 | Wilson M S Garzon F H Sickfus K E | 1993 | J Elechem Soc1993，140，10： | 1 |
| 14 | MicroRNA gene expression during retinoic acid-induced differentiation of human acute promyelocytic leukemia显示文摘 | Pichiorri F Palumbo T | 2007 | Oneogene2007，26，28： | 1 |
| 15 | Micro RNA fingerprints during human megakaryocytopoiesis显示文摘 | Garzon R Pichiorri F Palumbo T | 2006 | PANS2006，103，13： | 1 |
| 16 | PEM fuel cell durability with transportation transient operation显示文摘 | Borup R Davey J Garzon F | | 0，，01： | 1 |
| 17 | MicroRNA fingerprints during human megakaryocytopoiesis 显示文摘 | Garzon R Pichiorri F Palumbo T | 2006 | Proc Natl Acad Sci USA2006，103，13： | 1 |
| 18 | MicroRNA gene expression during retinoic acid-induceddifferentiation of human acute promyelocytic leukemia显示文摘 | GARZON R PICHIORRI F PALUMBO T | 2007 | Oncogene2007，26，： | 1 |
| 19 | PEM fuel cell electrocatalyst durability measurements显示文摘 | Borup R L Davey J R Garzon F H | | 0，，01： | 1 |
| 20 | On the characterization of chemical surface groups of carbon materials显示文摘 | M Domingo-Garcla F J Lopez Garzon M J Prrez-Mendoza | 2002 | Journal of Colloid and Interface Science2002，248，1： | 1 |
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