Spontaneous portosystemic shunt embolization in liver transplant recipients with recurrent hepatic encephalopathy

Angiogenesis; Portal hypertension; Collateral vessels

Detalles Bibliográficos
Autores: Álvarez López, Patricia, Quiroga Gómez, Sergi, Díez Miranda, Iratxe, Charco Torra, Ramon, Simon-Talero Horga, Macarena, Castells Fusté, Lluis, Campos Varela, Isabel
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:11351/7850
Acceso en línea:https://hdl.handle.net/11351/7850
Access Level:acceso abierto
Palabra clave:Encefalopatia hepàtica
Fetge - Trasplantació - Complicacions
DISEASES::Digestive System Diseases::Liver Diseases::Hepatic Insufficiency::Liver Failure::Hepatic Encephalopathy
Other subheadings::Other subheadings::Other subheadings::/surgery
ENFERMEDADES::enfermedades del sistema digestivo::enfermedades hepáticas::insuficiencia hepática::fracaso hepático::encefalopatía hepática
Otros calificadores::Otros calificadores::Otros calificadores::/cirugía
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oai_identifier_str oai:recercat.cat:11351/7850
network_acronym_str ES
network_name_str España
repository_id_str
dc.title.none.fl_str_mv Spontaneous portosystemic shunt embolization in liver transplant recipients with recurrent hepatic encephalopathy
title Spontaneous portosystemic shunt embolization in liver transplant recipients with recurrent hepatic encephalopathy
spellingShingle Spontaneous portosystemic shunt embolization in liver transplant recipients with recurrent hepatic encephalopathy
Álvarez López, Patricia
Encefalopatia hepàtica
Fetge - Trasplantació - Complicacions
DISEASES::Digestive System Diseases::Liver Diseases::Hepatic Insufficiency::Liver Failure::Hepatic Encephalopathy
Other subheadings::Other subheadings::Other subheadings::/surgery
ENFERMEDADES::enfermedades del sistema digestivo::enfermedades hepáticas::insuficiencia hepática::fracaso hepático::encefalopatía hepática
Otros calificadores::Otros calificadores::Otros calificadores::/cirugía
title_short Spontaneous portosystemic shunt embolization in liver transplant recipients with recurrent hepatic encephalopathy
title_full Spontaneous portosystemic shunt embolization in liver transplant recipients with recurrent hepatic encephalopathy
title_fullStr Spontaneous portosystemic shunt embolization in liver transplant recipients with recurrent hepatic encephalopathy
title_full_unstemmed Spontaneous portosystemic shunt embolization in liver transplant recipients with recurrent hepatic encephalopathy
title_sort Spontaneous portosystemic shunt embolization in liver transplant recipients with recurrent hepatic encephalopathy
dc.creator.none.fl_str_mv Álvarez López, Patricia
Quiroga Gómez, Sergi
Díez Miranda, Iratxe
Charco Torra, Ramon
Simon-Talero Horga, Macarena
Castells Fusté, Lluis
Campos Varela, Isabel
author Álvarez López, Patricia
author_facet Álvarez López, Patricia
Quiroga Gómez, Sergi
Díez Miranda, Iratxe
Charco Torra, Ramon
Simon-Talero Horga, Macarena
Castells Fusté, Lluis
Campos Varela, Isabel
author_role author
author2 Quiroga Gómez, Sergi
Díez Miranda, Iratxe
Charco Torra, Ramon
Simon-Talero Horga, Macarena
Castells Fusté, Lluis
Campos Varela, Isabel
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv Institut Català de la Salut
[Álvarez-López P] Unitat del Fetge, Vall d'Hebron Hospital Universitari, Barcelona, Spain. Vall d'Hebron Institut de Recerca (VHIR), Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain. [Campos-Varela I, Simón-Talero M, Castells L] Unitat del Fetge, Vall d'Hebron Hospital Universitari, Barcelona, Spain. Vall d'Hebron Institut de Recerca (VHIR), Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain. Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), Instituto de Salud Carlos III, Madrid, Spain. [Quiroga S] Servei de Radiologia, Vall d'Hebron Hospital Universitari, Barcelona, Spain. Vall d'Hebron Institut de Recerca (VHIR), Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain. [Díez I] Unitat de Radiologia Intervencionista, Vall d'Hebron Hospital Universitari, Barcelona, Spain. Vall d'Hebron Institut de Recerca (VHIR), Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain. [Charco R] Servei de Cirurgia Hepatobiliopancreàtica i Trasplantaments, Vall d'Hebron Hospital Universitari, Barcelona, Spain. Vall d'Hebron Institut de Recerca (VHIR), Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain
Vall d'Hebron Barcelona Hospital Campus
dc.subject.none.fl_str_mv Encefalopatia hepàtica
Fetge - Trasplantació - Complicacions
DISEASES::Digestive System Diseases::Liver Diseases::Hepatic Insufficiency::Liver Failure::Hepatic Encephalopathy
Other subheadings::Other subheadings::Other subheadings::/surgery
ENFERMEDADES::enfermedades del sistema digestivo::enfermedades hepáticas::insuficiencia hepática::fracaso hepático::encefalopatía hepática
Otros calificadores::Otros calificadores::Otros calificadores::/cirugía
topic Encefalopatia hepàtica
Fetge - Trasplantació - Complicacions
DISEASES::Digestive System Diseases::Liver Diseases::Hepatic Insufficiency::Liver Failure::Hepatic Encephalopathy
Other subheadings::Other subheadings::Other subheadings::/surgery
ENFERMEDADES::enfermedades del sistema digestivo::enfermedades hepáticas::insuficiencia hepática::fracaso hepático::encefalopatía hepática
Otros calificadores::Otros calificadores::Otros calificadores::/cirugía
description Angiogenesis; Portal hypertension; Collateral vessels
publishDate 2022
dc.date.none.fl_str_mv 2022
2022
2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/11351/7850
url https://hdl.handle.net/11351/7850
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Annals of Hepatology;27(3)
https://doi.org/10.1016/j.aohep.2022.100687
info:eu-repo/grantAgreement/ES/PE2017-2020/PI19%2F00330
info:eu-repo/grantAgreement/ES/PE2013-2016/JR17%2F00029
dc.rights.none.fl_str_mv Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv Scientia
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869421767439679488
spelling Spontaneous portosystemic shunt embolization in liver transplant recipients with recurrent hepatic encephalopathyÁlvarez López, PatriciaQuiroga Gómez, SergiDíez Miranda, IratxeCharco Torra, RamonSimon-Talero Horga, MacarenaCastells Fusté, LluisCampos Varela, IsabelEncefalopatia hepàticaFetge - Trasplantació - ComplicacionsDISEASES::Digestive System Diseases::Liver Diseases::Hepatic Insufficiency::Liver Failure::Hepatic EncephalopathyOther subheadings::Other subheadings::Other subheadings::/surgeryENFERMEDADES::enfermedades del sistema digestivo::enfermedades hepáticas::insuficiencia hepática::fracaso hepático::encefalopatía hepáticaOtros calificadores::Otros calificadores::Otros calificadores::/cirugíaAngiogenesis; Portal hypertension; Collateral vesselsAngiogénesis; Hipertensión portal; Vasos colateralesAngiogènesi; Hipertensió portal; Vasos col·lateralsIntroduction and objectives Spontaneous portosystemic shunts (SPSS) are a common cause of recurrent hepatic encephalopathy (HE). Shunt occlusion is an effective and safe procedure when performed in patients with cirrhosis and preserved liver function. We aimed to describe our experience with SPSS embolization after liver transplantation (LT). Patients We identified five patients who underwent SPSS embolization after LT. Clinical, biochemical and technical procedure data were collected. Results At presentation, all patients had developed graft cirrhosis and HE after LT. Median Model for End-stage Liver Disease (MELD) at embolization was 9 (range 7-12), median Child-Pugh was 8 (range 7-9). Splenorenal and mesocaval shunt were the most frequent types of SPSS found. Three patients have been completely free of HE. Of the two patients who had HE recurrence after embolization, one patient had two episodes of HE which was controlled well with medications. The other patient required three embolizations because of recurrent HE. Median follow-up was 4.4 years (range 1.0-5.0) and MELD score at last follow up was 13 (range 10-18) and median Child-Pugh score B, 7 points (range 5-12). Conclusions SPSS can be considered as a cause of HE after LT. SPSS embolization is feasible and safe in LT recipients.Isabel Campos-Varela's research activity is funded by grant PI19/00330, funded by Instituto de Salud Carlos III and co-funded by European Union (ERDF/ESF) - A way to build Europe. Macarena Simón-Talero is a recipient of the Juan Rodés grant JR17/00029 from Instituto de Salud Carlos III, Spain. CIBERehd is supported by Instituto de Salud Carlos III. The work was independent of all funding.ElsevierInstitut Català de la Salut[Álvarez-López P] Unitat del Fetge, Vall d'Hebron Hospital Universitari, Barcelona, Spain. Vall d'Hebron Institut de Recerca (VHIR), Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain. [Campos-Varela I, Simón-Talero M, Castells L] Unitat del Fetge, Vall d'Hebron Hospital Universitari, Barcelona, Spain. Vall d'Hebron Institut de Recerca (VHIR), Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain. Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), Instituto de Salud Carlos III, Madrid, Spain. [Quiroga S] Servei de Radiologia, Vall d'Hebron Hospital Universitari, Barcelona, Spain. Vall d'Hebron Institut de Recerca (VHIR), Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain. [Díez I] Unitat de Radiologia Intervencionista, Vall d'Hebron Hospital Universitari, Barcelona, Spain. Vall d'Hebron Institut de Recerca (VHIR), Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain. [Charco R] Servei de Cirurgia Hepatobiliopancreàtica i Trasplantaments, Vall d'Hebron Hospital Universitari, Barcelona, Spain. Vall d'Hebron Institut de Recerca (VHIR), Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, SpainVall d'Hebron Barcelona Hospital Campus202220222022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/11351/7850Scientiareponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésAnnals of Hepatology;27(3)https://doi.org/10.1016/j.aohep.2022.100687info:eu-repo/grantAgreement/ES/PE2017-2020/PI19%2F00330info:eu-repo/grantAgreement/ES/PE2013-2016/JR17%2F00029Attribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:11351/78502026-05-29T05:05:01Z
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