The Experts below are selected from a list of 210 Experts worldwide ranked by ideXlab platform
Ashish Verma - One of the best experts on this subject based on the ideXlab platform.
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thrombosed Mesocaval Shunt salvage by mechanical thrombolysis case report and review of the literature
CardioVascular and Interventional Radiology, 2008Co-Authors: Sanjay S. Baijal, Suyash Mohan, Jagadeesh R. Singh, Ashish VermaAbstract:We report the case of a 27-year-old male who presented with acute Mesocaval Shunt thrombosis, which was successfully managed by mechanical thrombolysis. Shunt thrombosis was suspected when the patient showed clinical signs and symptoms of obstructive jaundice in the immediate postoperative period. Doppler sonography showed absence of flow across the Shunt, suggestive of thrombosis, which was mechanically thrombolyzed by a percutaneous approach. The portocaval pressure gradient noted at the end of procedure was <5 mm Hg. The Shunt remained patent at the end of 3 months' follow-up.
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Thrombosed Mesocaval Shunt: Salvage by Mechanical Thrombolysis. Case Report and Review of the Literature
CardioVascular and Interventional Radiology, 2007Co-Authors: Sanjay S. Baijal, Suyash Mohan, Jagadeesh R. Singh, Ashish VermaAbstract:We report the case of a 27-year-old male who presented with acute Mesocaval Shunt thrombosis, which was successfully managed by mechanical thrombolysis. Shunt thrombosis was suspected when the patient showed clinical signs and symptoms of obstructive jaundice in the immediate postoperative period. Doppler sonography showed absence of flow across the Shunt, suggestive of thrombosis, which was mechanically thrombolyzed by a percutaneous approach. The portocaval pressure gradient noted at the end of procedure was
Sanjay S. Baijal - One of the best experts on this subject based on the ideXlab platform.
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thrombosed Mesocaval Shunt salvage by mechanical thrombolysis case report and review of the literature
CardioVascular and Interventional Radiology, 2008Co-Authors: Sanjay S. Baijal, Suyash Mohan, Jagadeesh R. Singh, Ashish VermaAbstract:We report the case of a 27-year-old male who presented with acute Mesocaval Shunt thrombosis, which was successfully managed by mechanical thrombolysis. Shunt thrombosis was suspected when the patient showed clinical signs and symptoms of obstructive jaundice in the immediate postoperative period. Doppler sonography showed absence of flow across the Shunt, suggestive of thrombosis, which was mechanically thrombolyzed by a percutaneous approach. The portocaval pressure gradient noted at the end of procedure was <5 mm Hg. The Shunt remained patent at the end of 3 months' follow-up.
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Thrombosed Mesocaval Shunt: Salvage by Mechanical Thrombolysis. Case Report and Review of the Literature
CardioVascular and Interventional Radiology, 2007Co-Authors: Sanjay S. Baijal, Suyash Mohan, Jagadeesh R. Singh, Ashish VermaAbstract:We report the case of a 27-year-old male who presented with acute Mesocaval Shunt thrombosis, which was successfully managed by mechanical thrombolysis. Shunt thrombosis was suspected when the patient showed clinical signs and symptoms of obstructive jaundice in the immediate postoperative period. Doppler sonography showed absence of flow across the Shunt, suggestive of thrombosis, which was mechanically thrombolyzed by a percutaneous approach. The portocaval pressure gradient noted at the end of procedure was
Jagadeesh R. Singh - One of the best experts on this subject based on the ideXlab platform.
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thrombosed Mesocaval Shunt salvage by mechanical thrombolysis case report and review of the literature
CardioVascular and Interventional Radiology, 2008Co-Authors: Sanjay S. Baijal, Suyash Mohan, Jagadeesh R. Singh, Ashish VermaAbstract:We report the case of a 27-year-old male who presented with acute Mesocaval Shunt thrombosis, which was successfully managed by mechanical thrombolysis. Shunt thrombosis was suspected when the patient showed clinical signs and symptoms of obstructive jaundice in the immediate postoperative period. Doppler sonography showed absence of flow across the Shunt, suggestive of thrombosis, which was mechanically thrombolyzed by a percutaneous approach. The portocaval pressure gradient noted at the end of procedure was <5 mm Hg. The Shunt remained patent at the end of 3 months' follow-up.
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Thrombosed Mesocaval Shunt: Salvage by Mechanical Thrombolysis. Case Report and Review of the Literature
CardioVascular and Interventional Radiology, 2007Co-Authors: Sanjay S. Baijal, Suyash Mohan, Jagadeesh R. Singh, Ashish VermaAbstract:We report the case of a 27-year-old male who presented with acute Mesocaval Shunt thrombosis, which was successfully managed by mechanical thrombolysis. Shunt thrombosis was suspected when the patient showed clinical signs and symptoms of obstructive jaundice in the immediate postoperative period. Doppler sonography showed absence of flow across the Shunt, suggestive of thrombosis, which was mechanically thrombolyzed by a percutaneous approach. The portocaval pressure gradient noted at the end of procedure was
Suyash Mohan - One of the best experts on this subject based on the ideXlab platform.
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thrombosed Mesocaval Shunt salvage by mechanical thrombolysis case report and review of the literature
CardioVascular and Interventional Radiology, 2008Co-Authors: Sanjay S. Baijal, Suyash Mohan, Jagadeesh R. Singh, Ashish VermaAbstract:We report the case of a 27-year-old male who presented with acute Mesocaval Shunt thrombosis, which was successfully managed by mechanical thrombolysis. Shunt thrombosis was suspected when the patient showed clinical signs and symptoms of obstructive jaundice in the immediate postoperative period. Doppler sonography showed absence of flow across the Shunt, suggestive of thrombosis, which was mechanically thrombolyzed by a percutaneous approach. The portocaval pressure gradient noted at the end of procedure was <5 mm Hg. The Shunt remained patent at the end of 3 months' follow-up.
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Thrombosed Mesocaval Shunt: Salvage by Mechanical Thrombolysis. Case Report and Review of the Literature
CardioVascular and Interventional Radiology, 2007Co-Authors: Sanjay S. Baijal, Suyash Mohan, Jagadeesh R. Singh, Ashish VermaAbstract:We report the case of a 27-year-old male who presented with acute Mesocaval Shunt thrombosis, which was successfully managed by mechanical thrombolysis. Shunt thrombosis was suspected when the patient showed clinical signs and symptoms of obstructive jaundice in the immediate postoperative period. Doppler sonography showed absence of flow across the Shunt, suggestive of thrombosis, which was mechanically thrombolyzed by a percutaneous approach. The portocaval pressure gradient noted at the end of procedure was
Kathleen K. Christians - One of the best experts on this subject based on the ideXlab platform.
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Distal splenorenal and Mesocaval Shunting at the time of pancreatectomy.
Surgery, 2018Co-Authors: Mariana I. Chavez, Susan Tsai, Callisia N. Clarke, Mohammed Aldakkak, Michael O. Griffin, Abdul H. Khan, Paul S. Ritch, Beth Erickson, Douglas B. Evans, Kathleen K. ChristiansAbstract:Abstract Background When pancreatic neoplasms occlude or encase the superior mesenteric-portal-splenic vein confluence with abutment of the posterior lateral wall of the superior mesenteric artery, a Mesocaval Shunt with or without a distal splenorenal Shunt allows for safe dissection of the porta hepatis and separation of the pancreatic tumor from the superior mesenteric artery. Herein we report long-term results of the largest known series of portosystemic Shunts performed at the time of pancreatectomy. Methods All patients who underwent pancreatic resection with a Mesocaval Shunt or distal splenorenal Shunt were identified from our prospective database. Demographics, perioperative treatment, and outcomes were reviewed. Results A total of 34 patients underwent Mesocaval Shunt or distal splenorenal Shunt, including 25 at the time of pancreatoduodenectomy, 6 during total pancreatectomy, and 3 after prior pancreatectomy. There were 15 Mesocaval Shunts, 16 distal splenorenal Shunts, 2 combined Mesocaval/distal splenorenal Shunts, and 1 distal splenoadrenal vein Shunt. The Mesocaval group included 11 temporary and 6 permanent (3 delayed) Shunts. Median operative time was 9 hours (range 6.5–13), median estimated blood loss was 950 mL (range 200–5,000), and median duration of hospital stay was 11 days (range 7–35). Four patients experienced complications that required intervention (Clavien-Dindo grade ≥III), but there were no 90-day mortalities. For patients with adenocarcinoma, median overall survival was 31 months at a median follow-up of 19 months. All but 1 Shunt (distal splenorenal) were patent at last follow-up. Conclusion Mesenteric venous Shunting facilitates a safe and complete tumor resection in patients who require a complex pancreatectomy, many of whom would otherwise be deemed inoperable.