Portal Hypertension

The definitive work on the diagnosis and treatment of portal hypertension

Previously published by the Society for Interventional Radiology (SIR), this fully revised and updated third edition of Portal Hypertension: Imaging, Diagnosis, and Endovascular Management is the first volume in collaboration between Thieme and the SIR. Edited by Wael Saad and written by internationally recognized experts, this authoritative volume is a comprehensive guide to the diagnosis and interventional management of portal hypertension. A potentially serious condition, portal hypertension presents considerable clinical challenges due to the delicate nature of the impacted organs, veins, and vessels.

From pathophysiology to the latest state-of-the-art approaches, five major sections encompass diagnostic, medical, endoscopic, non-vascular, surgical, percutaneous, endovascular, and balloon-occluded methodologies, including indications, complications, and clinical trial results. Throughout this book's 33 chapters, a Who's Who of world-renowned interventional radiologists share clinical pearls and step-by-step procedural guidance.

Several techniques have undergone significant advances since the second edition was published, including Transjugular Intrahepatic Portosystemic Shunt (TIPS), Balloon-Occluded Retrograde Transvenous Obliteration (BRTO), Balloon-Occluded Antegrade Transvenous Obliteration (BATO), and variations on TIPS, and all these are featured herein.

Key Highlights

• Hepatic and portal venous anatomy relative to procedural approaches
• Nearly 250 figures elucidate anatomical structures and technical methodologies
• TIPS: patient selection, effects on kidney and liver function, hemodynamic changes, intravascular ultrasound guidance, Doppler surveillance, and utilization for Budd-Chiari Syndrome and liver transplantation
• TIPS clinical study outcomes for variceal bleeding, ascites, and hydrothorax
• BRTO and BATO techniques, clinical study outcomes, and utilization for gastric varices

• Management of mesenteric and portal vein stenosis, thrombosis, and hypersplenism
  This remarkable book is a must-have tool for interventional radiologists and for all those who care for patients with portal hypertension, from residents to practicing clinicians.

  Klappentext

  Previously published by the Society for Interventional Radiology (SIR), this fully revised and updated third edition of Portal Hypertension: Imaging, Diagnosis, and Endovascular Management is the first volume in collaboration between Thieme and the SIR. Edited by Wael Saad and written by internationally recognized experts, this authoritative volume is a comprehensive guide to the diagnosis and interventional management of portal hypertension. A serious condition, portal hypertension presents considerable clinical challenges due to the delicate nature of the impacted organs, veins, and vessels. From pathophysiology to the latest state-of-the-art approaches, five major sections encompass diagnostic, medical, endoscopic, non-vascular, surgical, percutaneous, endovascular, and balloon-occluded methodologies, including indications, complications, and clinical trial results. Throughout this book's 31 chapters, a Who's Who of world-renowned interventional radiologists share clinical pearls and step-by-step procedural guidance. Several advanced techniques have been developed since the second edition was published, including Transjugular Intrahepatic Portosystemic Shunt (TIPS), Balloon-Occluded Retrograde Transvenous Obliteration (BRTO), Balloon-Occluded Retrograde Transvenous Obliteration (BRTO), and variations on TIPS, and these are featured herein. Key Highlights Hepatic and portal venous anatomy relative to procedural approaches Nearly 250 figures elucidate anatomical structures and technical methodologies TIPS: patient selection, effects on kidney and liver function, hemodynamic changes, intravascular ultrasound guidance, Doppler surveillance, and utilization for Budd-Chiari Syndrome and liver transplantation TIPS clinical study outcomes for variceal bleeding, ascites, and hydrothorax BRTO and BATO techniques, clinical study outcomes, and utilization for gastric varices Management of mesenteric and portal vein stenosis, thrombosis, and hypersplenism This remarkable book is a must-have tool for interventional radiologists and for all those who care for patients with portal hypertension, from residents to practicing clinicians.

  Inhalt

  Section I Pathogenesis and Diagnosis
  Chapter 1 Pathophysiology and Classification of Liver Cirrhosis and Portal Hypertension
  Chapter 2 Clinical Presentation of Portal Hypertension
  Chapter 3 Noninvasive Cross-Sectional and Vascular Imaging of Portal Hypertension
  Chapter 4 Indirect Portal Pressure Measurement and Carbon Dioxide Wedged Hepatic Portography
  Chapter 5 Hemodynamic Evaluation of the Liver and Transjugular Liver Biopsy
  Section II Medical, Endoscopic, Percutaneous, and Surgical Management
  Chapter 6 Medical Management of Portal Hypertension Complications
  Chapter 7 Endoscopic Classification and Management of Varices
  Chapter 8 Paracentesis and the LeVeen and Denver Shunts
  Chapter 9 Surgical Management of Portal Hypertension
  Chapter 10 Percutaneous Management of Surgically Placed Portosystemic Shunts
  Section III Endovascular Management: Shunts and Splenic Embolization
  Chapter 11 Patient Selection and the Effect of Transjugular Intrahepatic Portosystemic Shunt on Liver and Kidney Function
  Chapter 12 Hepatic and Portal Venous Anatomy Relative to the Transjugular Intrahepatic Portosystemic Shunt Procedure
  Chapter 13 Technique for the Transjugular Intrahepatic Portosystemic Shunt Procedure
  Chapter 14 The Difficult Transjugular Portosystemic Shunt Procedure: Unconventional Techniques
  Chapter 15 The Intravascular UltrasoundGuided Direct Intrahepatic Portacaval Shunt
  Chapter 16 Hemodynamic Changes Following the Transjugular Intrahepatic Portosystemic Shunt
  Chapter 17 Budd-Chiari Syndrome: Transjugular Intrahepatic Portosystemic Shunt and Hepatic Vein Recanalization
  Chapter 18 Transjugular Intrahepatic Portosystemic Shunt Reduction for Post-TIPS Hepatic Encephalopathy
  Chapter 19 Patency Outcomes of Transjugular Intrahepatic Portosystemic Shunts in the Stent-Graft Era
  Chapter 20 Doppler Surveillance of Transjugular Intrahepatic Portosystemic Shunts in the Stent-Graft Era
  Chapter 21 Transjugular Intrahepatic Shunts for Variceal Bleeding: Results of Clinical Studies
  Chapter 22 Transjugular Intrahepatic Portosystemic Shunts for Ascites and Hepatic Hydrothorax: Results of Clinical Studies
  Chapter 23 The Transjugular Intrahepatic Portosystemic Shunt as a Prelude to and After Liver Transplantation
  Chapter 24 Management of Mesenteric and Portal Vein Thrombosis in Nontransplanted Patients
  Chapter 25 Percutaneous Mesocaval Shunts
  Chapter 26 Splenic Artery Embolization for Management of Hypersplenism and Portal Hypertension
  Chapter 27 Pediatric Portal Interventions
  Section IV Percutaneous and Endovascular Management: Transvenous Obliteration
  Chapter 28 Vascular Anatomy and Classification Schema of Gastric Varices Relevant to Balloon-Occluded Retrograde Transvenous Obliteration
  Chapter 29 The Conventional Balloon-Occluded Retrograde Transvenous Obliteration Procedure
  Chapter 30 Balloon-Occluded Antegrade Transvenous Obliteration and Variations of Balloon-Occluded Retrograde Transvenous Obliteration in the Treatment of Gastric Varices
  Chapter 31 Clinical Outcomes of Balloon-Occluded Retrograde Transvenous Obliteration and Balloon-Occluded Antegrade Transvenous Obliteration
  Chapter 32 Management of Duodenal Varices
  Chapter 33 Management of Stomal Varices