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A rare case of sacral epidural arteriovenous fistula with concomitant occult multiple lumbar epidural arteriovenous fistulas

Saito K, Ushioda T, Miyata T, Mayanagi K, Kato K, Inamasu J, Nakatsukasa M

We describe a rare case of sacral epidural arteriovenous fistulas (edAVFs) with atypical clinical course of treatment. A 78-year-old man with a history of spinal surgery presented progressive gait disturbance...
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Epidemiology, Diagnosis, and Treatment of Portal Vein Thrombosis

Seo Jy, Kim SH, Yoo YJ, Lee AY, Park SJ

In recent years, the incidence of portal vein thrombosis (PVT) in patients with cirrhosis has increased; the thrombosis ranges from asymptomatic partial to complete occlusion. Treatment is difficult. Anticoagulation therapy...
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Unconventional shunt surgery for non-cirrhotic portal hypertension in patients not suitable for proximal splenorenal shunt

S L H, Pottakkat B, Gnanasekaran S, Raja K

Backgrounds/Aims: Proximal splenorenal shunt (PSRS) is a commonly performed procedure to decompress portal hypertension, in patients with refractory variceal bleed, especially in non-cirrhotic portal hypertension (NCPH). If conventional methods are...
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Off-label plug-assisted retrograde transvenous obliteration of a giant gastrorenal shunt: A report of two cases

Le TB, Le MT, Ngo DHA, Huyen TNHH, Nguyen TT, Truong XL, Tran VH

Plug-assisted retrograde transvenous obliteration has been recognized as a safe and effective treatment modality for patients with gastric variceal bleeding. The hallmark of this technique is to block the gastrorenal...
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Distal Ventriculoperitoneal Shunt Catheter Migration into the Pulmonary Vasculature and Cardiac Chamber: A Case Report

Lee CB, Park J

Ventriculoperitoneal shunting is the most common neurosurgical procedure for treatment of hydrocephalus. Shunt-related complications are relatively common and associated with a high rate of shunt revision. However, migration of the...
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Risk factors associated with slit ventricle syndrome after ventriculoperitoneal shunt surgery

Hwang J, Lee JM

Objective: Slit ventricle syndrome (SVS) is defined as a slit-like appearance of the lateral ventricles with associated symptoms such as headache, vomiting, or drowsiness. The study investigated the risk factors...
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Permanent Surgical Treatment for Posthemorrhagic Hydrocephalus in Preterm Infants

Harada A

While the standard management for posthemorrhagic hydrocephalus (PHH) has not been determined, many patients initially receive temporary treatment such as a ventricular drainage, a ventricular reservoir, or a ventriculosubgaleal shunt....
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Management of unanticipated difficult airway in a patient with well-visualized vocal cords using video laryngoscopy - A case report -

Ki S, Cho SB, Park S, Lee J

Background: Difficult airway occurs due to anatomical abnormalities of the airway that can be predicted through airway assessments; however, abnormalities beyond the vocal cord can be clinically asymptomatic and undetected...
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Clinical Outcome of Endoscopic Procedure in Patients with Shunt Malfunction

Kim KH, Shim Y, Lee JY, Phi JH, Koh EJ, Kim SK

Objective : The goal of this study was to analyze the clinical outcomes of endoscopic third ventriculostomy (ETV) and endoscopic septostomy when shunt malfunction occurs in a patient who has...
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Bilateral Thalamic Infarction Related to Artery of Percheron with Microembolic Signal

Lee HL, Kim YL, Shin BS, Kang HG

The artery of Percheron (AOP) is an uncommon variant of the posterior cerebral artery that supplies blood to the paramedian thalamus and rostral midbrain. AOP is often difficult to recognize...
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Transjugular intrahepatic portosystemic shunt for pyrrolidine-alkaloid-induced hepatic sinusoidal obstruction syndrome in a patient with situs inversus totalis and portal vein thrombus

Xie YG, Xu C, Shi HB, Liu S, Yang W, Tian W, Zhou WZ

  • KMID: 2539257
  • Int J Gastrointest Interv.
  • 2023 Jan;12(1):46-49.
  • doi: xmjbq007@163.com
We here report a rare case of pyrrolidine-alkaloid-induced hepatic sinusoidal obstruction syndrome (PA-HSOS) complicated with situs inversus totalis and portal vein thrombus (PVT). The patient had abdominal distention and ascites,...
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Management of refractory ascites

Wong F

The development of refractory ascites in approximately 10% of patients with decompensated cirrhosis heralds the progression to a more advanced stage of cirrhosis. Its pathogenesis is related to significant hemodynamic...
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Plug-Assisted Retrograde Transvenous Obliteration for the Treatment of Gastric Varix with Both Gastrorenal and Gastrocaval Shunts: A Case Report

Shim J, Lee JM

Gastric variceal bleeding has a poor prognosis and a high mortality rate. Balloon-occluded retrograde transvenous obliteration has traditionally been applied in the treatment of gastric varix. Recently, plug-assisted retrograde transvenous...
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Portal cavernoma cholangiopathy: Update and recommendations on diagnosis and management

Bhavsar R, Yadav A, Nundy S

Portal cavernoma cholangiopathy is defined as an obstruction of the biliary system due to distended veins surrounding bile ducts that mainly occur in patients with extrahepatic portal venous obstruction. The...
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Treating Sudden Onset Hepatic Encephalopathy with Coil Embolization in a Patient with a Congenital Intrahepatic Portosystemic Venous Shunt: A Case Report

Choi Y, Kim JH, Jeon UB, Jang JY, Kim TU, Ryu H

Intrahepatic portosystemic venous shunt (IPSVS) is a rare vascular abnormality that involves abnormal communication between the intrahepatic portal vein and systemic veins, such as the hepatic vein or inferior vena...
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Lumboperitoneal Shunt Combined With Ommaya Reservoir Enables Continued Intraventricular Chemotherapy for Leptomeningeal Metastasis With Increased Intracranial Pressure

Woo B, Gwak HS, Kwon JW, Shin SH, Yoo H

Background Intra-cerebrospinal fluid (CSF) chemotherapy for leptomeningeal metastasis (LM) can be delivered intraventricularly via an Ommaya reservoir. However, hydrocephalus associated with LM can interfere with chemotherapeutic drug distribution, and ventriculoperitoneal...
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Shunt Malfunction Without Device Occlusion: A Case Report

Yu S, Lee JH, Kim BC, Ha M, Ryu DY, Choi HJ

Shunt malfunction is the most common cause of ventriculoperitoneal shunt failure. In literature, occlusion of the tube with brain parenchyma, choroid plexus, blood, and proteinaceous debris has been suggested as...
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Persistent retrograde venous-lymphatic reflux in side-to-end lymphaticovenous anastomosis in a lower extremity with lymphedema: a case report

Woo KJ, Lee MK, Park JW

End-to-end (ETE) and side-to-end (STE) anastomosis are two common configurations of lymphaticovenous anastomosis (LVA); however, it remains inconclusive which method is better. A 62-year-old man with lower extremity lymphedema underwent...
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Marked Cognitive and Activities of Daily Living Improvement by Shunt Embolization in a Very Old Man with Portosystemic Encephalopathy Mimicking Alzheimer Disease: A Case Report

Kondo S, Takada K, Kojima T, Tanaka K, Yakabe M, Shibata E, Umeda-Kamayama Y, Takao H, Ogawa S, Akishita M

A 91-year-old man with chronic cognitive impairment underwent shunt embolization for portosystemic encephalopathy (PSE). He experienced intermittent episodes of impaired consciousness and decreased cognitive function and activities of daily living...
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Prediction of Shunt-Dependent Hydrocephalus after Primary Supratentorial Intracerebral Hemorrhage with a Focus on the Influence of Craniectomies

Park Ys, Cho J

Objective : Hydrocephalus after intracerebral hemorrhage (ICH) is known to be related to poor prognosis and mortality. We analyzed predictors of permanent hydrocephalus in the patients with surgically treated supratentorial...
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