Endovascular Management of Noncirrhotic Acute Portomesenteric Venous Thrombosis

IF 2.6 3区 医学 Q2 PERIPHERAL VASCULAR DISEASE Journal of Vascular and Interventional Radiology Pub Date : 2025-01-01 DOI:10.1016/j.jvir.2024.09.023
Jonathan Lorenz MD , Daniel H. Kwak MD, PhD , Lynne Martin MD , Andrew Kesselman MD , Lawrence V. Hofmann MD , Qian Yu MD , Salma Youssef , Paul Ciolek BS , Osman Ahmed MD
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Abstract

Acute portomesenteric venous thrombosis (PVT) is a rare but potentially life-threatening condition in individuals without cirrhosis. Initial management typically involves anticoagulation therapy, but the optimal approach to interventional treatment remains a topic of ongoing research. This article explores both traditional and emerging endovascular techniques, providing an overview of the existing evidence supporting their use. Additionally, it delves into the significance of acute PVT in the context of contemporary pathologies, notably coronavirus disease 2019 infection, vaccine-induced immune thrombotic thrombocytopenia, and liver transplantation.

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非肝硬化急性肠门静脉血栓的血管内治疗。
急性肠胃门静脉血栓形成(PVT)是一种罕见的疾病,但在无肝硬化的患者中可能会危及生命。初始治疗通常包括抗凝治疗,但介入治疗的最佳方法仍是一个持续研究的课题。本文探讨了传统和新兴的血管内技术,概述了支持使用这些技术的现有证据。此外,文章还深入探讨了急性 PVT 在当代病理背景下的重要性,尤其是 COVID-19 感染、疫苗诱发的免疫性血栓性血小板减少症和肝移植。
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来源期刊
CiteScore
4.30
自引率
10.30%
发文量
942
审稿时长
90 days
期刊介绍: JVIR, published continuously since 1990, is an international, monthly peer-reviewed interventional radiology journal. As the official journal of the Society of Interventional Radiology, JVIR is the peer-reviewed journal of choice for interventional radiologists, radiologists, cardiologists, vascular surgeons, neurosurgeons, and other clinicians who seek current and reliable information on every aspect of vascular and interventional radiology. Each issue of JVIR covers critical and cutting-edge medical minimally invasive, clinical, basic research, radiological, pathological, and socioeconomic issues of importance to the field.
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