FIELD: medicine.
SUBSTANCE: invention relates to medicine, namely to surgery, and can be used to treat patients with liver cirrhosis complicated by portal hypertension and hypersplenism. In the course of one procedure, transjugular intrahepatic portosystemic shunting of the veins of the esophagus and/or stomach and embolization of the spleen with microspheres are performed. When performing transjugular intrahepatic portosystemic shunting after puncture of the right branch of the portal vein, balloon plasty of the formed channel in the liver parenchyma is performed with an 8×6 balloon catheter. The positioning and implantation of the coated nitinol stent is carried out. X-ray endovascular embolization is carried out with microspheres Contour 300-500 mcm - 2 ml until occlusion.
EFFECT: method provides improvement of immediate and long-term results of treatment of patients with cirrhosis of the liver, increases the survival rate of patients on the waiting list for cadaveric liver transplantation, due to the minimally invasive method for bypassing several veins simultaneously.
1 cl, 1 ex
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Authors
Dates
2022-11-15—Published
2021-12-21—Filed