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Radiology
Portal Hypertension
Built from Fundamentals of Diagnostic Radiology
What’s inside
4 sections · 68 slides
Overview
- Overview of portal hypertension
Background
What portal hypertension is, what causes it, and why it harms
- Definition of portal hypertension
- Measuring the pressure gradient
- Causes of portal hypertension
- Causes of portal hypertension
- Cirrhosis and its causes
- From chronic injury to portal hypertension
- Complications of portal hypertension
- The cycle that worsens portal hypertension
- Complications of portal hypertension
- Variceal bleeding risk
Portal Venous and Collateral Anatomy
The vessels that carry portal blood and where varices form
- Portal venous anatomy
- Portal venous anatomy on CT
- Collaterals in portal hypertension
- Portosystemic collateral pathways
- Gastroesophageal varices
- Gastroesophageal varices: bleeding and treatment
- Gastric varices
- Gastric variceal shunts
- Locations of common varices
Management
Shunts, variceal occlusion, recanalization, and symptom relief
- Portosystemic shunt creation
- TIPS indications and contraindications
- TIPS indications and contraindications
- TIPS technique
- TIPS creation schematic
- TIPS technique continued
- Portal venography for TIPS planning
- TIPS creation step by step
- Stent sizing and pressure targets
- Variceal embolization and stent patency
- Large gastroesophageal varices
- TIPS surveillance
- >95%
- TIPS complications
- Venous recanalization
- Chronic occlusion and Budd-Chiari
- Portal vein recanalization with TIPS
- Budd-Chiari syndrome venography
- Variceal occlusion with BRTO
- BRTO indications and contraindications
- BRTO indications and contraindications
- How BRTO changes pressures
- Gastric varices anatomy
- BRTO patient selection
- BRTO technique
- BRTO technique continued
- BRTO technique
- Sclerosing agents
- Inflow occlusion and follow-up
- Gastric varices before and after BRTO
- BRTO outcomes
- Ascites drainage
- Inferior epigastric artery and paracentesis
- Large-volume paracentesis
- Peritoneovenous and pleurovenous shunts
- Pleurovenous shunt
- Shunt complications
- Partial splenic embolization
- The splenic feedback loop
- PSE effect and technique
- Key takeaways
- Suggested readings
- Suggested readings
- Suggested readings
- Suggested readings
- Suggested readings
- Suggested readings
- Brant and Helms' Fundamentals of Diagnostic Radiology