Description: 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. 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
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EAN: 9781626233270
UPC: 9781626233270
ISBN: 9781626233270
MPN: N/A
Item Length: 28.5 cm
Number of Pages: 344 Pages
Language: English
Publication Name: Portal Hypertension: Imaging, Diagnosis, and Endovascular Management
Publisher: Thieme Medical Publishers INC International Concepts
Publication Year: 2017
Subject: Medicine, Radiology
Item Height: 279 mm
Item Weight: 1270 g
Type: Textbook
Author: Dr. Wael E. A. Saad
Item Width: 216 mm
Format: Hardcover