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Portal Hypertension
Imaging, Diagnosis, and Endovascular Management
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Main description:

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.


Contents:

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 Ultrasound-Guided 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


PRODUCT DETAILS

ISBN-13: 9781626233270
Publisher: Thieme (Thieme Medical Publishers Inc)
Publication date: September, 2017
Pages: 400
Weight: 1270g
Availability: Available
Subcategories: Nuclear Medicine, Radiology

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