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| 1 | Embolization of splenorenal shunt associated to portal vein thrombosis and hepatic encephalopathy显示文摘Hepatic encephalopathy(HE)is a cognitive disturbance characterized by neuropsychiatric alterations.It occurs in acute and chronic hepatic disease and also in patients with portosystemic shunts.The presence of these portosystemic shunts allows the passage of nitrogenous substances from the intestines through systemic veins without liver depuration.Therefore,the embolization of these shunts has been performed tocontrol HE manifestations,but the presence of portal vein thrombosis is considered a contraindication.In this presentation we show a cirrhotic patient with severe HE and portal vein thrombosis who was submitted to embolization of a large portosystemic shunt.Case report:a 57 years-old cirrhotic patient who had been hospitalized many times for persistent HE and hepatic coma,even without precipitant factors.She had a wide portosystemic shunt and also portal vein thrombosis.The abdominal angiography confirmed the splenorenal shunt and showed other shunts.The larger shunt was embolized through placement of microcoils,and the patient had no recurrence of overt HE.There was a little increase of esophageal and gastric varices,but no endoscopic treatment was needed.Since portosystemic shunts are frequent causes of recurrent HE in cirrhotic patients,portal vein thrombosis should be considered a relative contraindication to perform a shunt embolization.However,in particular cases with many shunts and severe HE,we found that one of these shunts can be safely embolized and this procedure can be sufficient to obtain a good HE recovery.In conclusion,we reported a case of persistent HE due to a wide portosystemic shunt associated with portal vein thrombosis.As the patient had other shunts,she was successfully treated by embolization of the larger shunt. | Letícia de Campos Franzoni Fábio Cardoso de Carvalho Rafael Gomes de Almeida Garzon Fábio da Silva Yamashiro Laís Augusti Lívia Alves Amaral Santos Mariana de Souza Dorna Júlio Pinheiro Baima Talles Bazeia Lima Carlos Antonio Caramori Giovanni Faria Silva Fernando Gomes Romeiro | 2014 | World Journal of Gastroenterology2014，20，42： | 6 |
| 2 | Atypical infections intsunamisurvivors显示文摘 | GarzoniC Emonet S Legout L | 2005 | Emerg infect Dis2005，11，10： | 1 |
| 3 | MicroRNA signatures associated with cytogenetics and prognosis in acute myeloid leukemia显示文摘 | GARZON R VOLINIA S LIU C G | | 0，，06： | 1 |
| 4 | Use of Wheat Flour-Lipid and Waxy Maize Starch-Lipid Composites in WireCut Formula Cookies 显示文摘 | Garzon G A Gaines C S Palmquist D E | 2003 | Journal of Food Science2003，68，2： | 1 |
| 5 | Freeze/thaw effects in PEM fuel cells显示文摘 | MUKUNDAN R KIM Y S GARZON F | 2006 | Meet Abstr Electrochem Soc2006，502，： | 1 |
| 6 | MicroRNA signatures associated with cytogenetics and prognosis in acute myeloid leukaemia显示文摘 | Garzon R Volinia S Liu C G | 2008 | Blood2008，111，6： | 1 |
| 7 | MicroRNA signatures associated with cytogenetics and prognosis in acute myeloid leukemia显示文摘 | Garzon R Volinia S Liu CG | 2008 | Blood2008，111，6： | 1 |
| 8 | MicroRNA-29b induces globalDNA hypomethylation and tumor suppressor gene reexpressionin acute myeloid leukemia by targeting directly DNMT3A and 3Band indirectly DNMT1显示文摘 | Garzon R Liu S Fabbri M | 2009 | Blood2009，113，25： | 1 |
| 9 | MicroRNA-29b induces global DNA hypomethylation and tumor suppressor gene reexpres-sion in acute myeloid leukemia by targeting directly DNMT3A and 3B and indirectly DNMT1显示文摘 | Garzon R Liu S Fabbri M | 2009 | Blood2009，113，25： | 1 |
| 10 | Accurate simulations of the vapor-liquid equilibrium of important organic solvents and other diatomics显示文摘 | Lago S Garzon B Calero S | 1997 | TheJournal of Physical Chemistry B1997，101，34： | 1 |
| 11 | Decreased brain-de- rived neurotrophic factor depends on amyloid aggregation state in transgenic mouse models of Alzheimer's disease显示文摘 | Peng S Garzon DJ Marchese M | 2009 | J Neu- rosci2009，29，29： | 1 |
| 12 | Optimal building evacuation time considering evacuation routes 显示文摘 | PURSALS S C GARZON F G | 2009 | European Journal of Operational Research2009，192，2： | 1 |
| 13 | MicroRNA-29b induces global DNA hypomethylation and tumor suppressor gene reexpression in acute myeloid leukemia by targeting directly DNMT3A and 3B and indirectly DNMT1 显示文摘 | Garzon R Liu S Fabbri M | 2009 | Blood2009，，113： | 1 |
| 14 | Isolation and trypsin-enhanced propagation of turkey enteric (bluecomb) coronaviruses in a continuous human rectal adenocarcinoma cell line 显示文摘 | Dea S Garzon S Tijssen P | 1989 | Am J Vet Res1989，50，： | 1 |
| 15 | Tumor Necrosis Factor-alpha: a Mediator of Disease Progression in the Failing Human Heart显示文摘 | Herrera Garza E H Stetson S J Cubillos Garzon A | 1999 | Chest1999，115，4： | 1 |
| 16 | Decreased brain - derived neurotrophic factor depends on amyloid aggregation state in transgenic mouse modles of Alzheimet' s disease 显示文摘 | Peng S Garzon DJ Marchese M | 2009 | J Neurosci2009，29，29： | 1 |
| 17 | Decreased brain-derived neurotrophic factor depends on amyloid aggrega- tion state in transgenie mouse models of Ahheimers disease 显示文摘 | PENG S GARZON D J MARCHESE M | 2009 | Neumsci2009，29，29： | 1 |
| 18 | Persistent hepatitis C virus (HCV) infection impairs HCV -specific cytotoxic T cell reactivity through Mcl -1/Bim im- balance due to CD127 down - regulation 显示文摘 | LARRUBIA JR LOKHANDE MU GARCIA -GARZON S | 2013 | J Viral Hepat2013，20，2： | 1 |
| 19 | MicroRNA signatures as-sociated with cytogenetics and prognosis in acute myeloid leukemia显示文摘 | GARZON R VOLINIA S LIU C G | 2008 | Blood2008，111，6： | 1 |
| 20 | MicroRNA - 29b induces global DNA hypomethylation and tumor suppressor gene reexpression in acute myeloid leukemia by targeting directly DNMT3A and 3B and indirectly DNMT1显示文摘 | GARZON R LIU S FABBRI M et aI | 2009 | Blood2009，113，25： | 1 |
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