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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 | Pseudoheterodyne demodulation technique for fiber Bragg grating sensors using two matched gratings显示文摘 | Ferreira L A Santos J L Farahi F | 1997 | IEEE Photonics Technology Letters1997，9，4： | 2 |
| 3 | Lipoprotein lipase gene polymorphism in non-insulin-dependent diabetics: preliminary study显示文摘 | PEREZ F LAFAYETTE T SANTOS J L | 1997 | Rev Med Chil1997，125，11： | 2 |
| 4 | CO tolerance effects of tungsten-based PEMFC anodes 显示文摘 | GUSTAVO L PEREIRA S SANTOS F R | 2006 | Electrochim Acta2006，51，： | 1 |
| 5 | Agro- industrial residues as low-price feedstock for diesel- like fuel production by thermal cracking显示文摘 | Santos A L F Martins D U Iha O K | 2010 | Bioresource Technology2010，101，： | 1 |
| 6 | Impacts of the European Emission Trading Scheme Directive and Permit Assignment Methods on the Spanish Electricity Sector显示文摘 | LINARES P SANTOS F J VENTOSA M LAPIEDRA L | 2006 | Energy Journal2006，27，1： | 1 |
| 7 | Polymeric precursor method to the synthesis of XWO4(X = Ca and Sr)thin films-structural,micro-structural and spectroscopic investigations显示文摘 | Pontes F M Galhiane M S Santos L S Petit L A Kataoka F P Mabuchi G H Longo E Zampieri M Pi-zani P S | 2009 | Journal of Alloys and Compounds2009，477，12： | 1 |
| 8 | Eevelopment and characterization of a cheese analogue containing aqueous soya extract (soya mill), whey and cow milk显示文摘 | Pereirag V Antunes L A F Dos Santos Ferreira da Silva R S | 1992 | Arquivo de Biologiay Tecnica1992，35，： | 1 |
| 9 | Advances in GML for geospatial applications显示文摘 | Lu C T Dos Santos Jr R F Sripada L N | 2007 | Journal of Computer Applications Geoinformatica2007，11，： | 1 |
| 10 | Evidence for a positive regulatory role of strawberry (Fragaria x ananassa ) F WRKY1 and Arabidopsis AtWRKY75 proteins in resistance 显示文摘 | Vladimir-Shulaev S Maldonado A M Amil-Ruiz F Santos B Romero F Pliego-Alfaro F Munoz-Blanco J Caballero J L | 2009 | Journal of Experimental Botany2009，60，11： | 1 |
| 11 | Biphasic positive air- way pressure minimizes biological impact on lung tissue in mild acute lung injury independent of etiology显示文摘 | Saddy F Moraes L Santos C | 2013 | Crit Care2013，17，5： | 1 |
| 12 | Sequential double lung transplant in Kartagener,s syndrome显示文摘 | LAMA M R SANTOS L F SALVATIERRA V A | 2000 | Arch Bronconeumol2000，36，： | 1 |
| 13 | Impacts of embanking on the soil-vagetation relationships in a floodplain ecosystem of a pre-alpine river 显示文摘 | MENDONCA SANTOS M L GUENAT C THEVOZ C BUREAU F VEDY J C | 1997 | Global Ecology and Biogeography Letters1997，6，： | 1 |
| 14 | Pseudoheterodyne demodulation technique for fibre Bragg grating sensors using two matched gratings 显示文摘 | Ferreira L A Santos J L Farahi F | 1997 | IEEE Photon Technol Leet1997，9，4： | 1 |
| 15 | 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 |
| 16 | Pressurized liquid extraction of vitamin E from Brazilian grape seed oil显示文摘 | DOS SANTOS FREITS L JACQUES R A RICHTER M F | 2008 | Journal of Chromatography A2008，1200，1： | 1 |
| 17 | Chemi- cal characterization of bio - oils using comprehensive two - dimensional gas chromatography with time - of - flight mass spectrometry 显示文摘 | TESSAROLO N S DOS SANTOS L R M SILVA R S F | 2013 | J Chromatogr A2013，1279，： | 1 |
| 18 | Oxidation of CO,ethanol and toluene over TiO2 supported noble metal catalysts显示文摘 | SANTOS V P CARABINEIRO S A C TAVARES P B PEREIRA M F R ORFAO J J M FIGUEIREDO J L | | 0，，： | 1 |
| 19 | Three-dimensional GIS cartography applied to the study of the spatial variation of soil horizons in a Swiss floodplain 显示文摘 | MENDONCA SANTOS M L GUENAT C BOUZELBUODJEN M GOLAY F | 2000 | Geoderma2000，97，： | 1 |
| 20 | Adherent amorphous hydrogenated carbon fihns on metals deposited by plasma enhanced chemieal vapor deposition 显示文摘 | Capote G Bonetti L F Santos L V | 2008 | Thin Solid Films2008，516，12： | 1 |
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