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Mikhin S.V.

Volgograd State Medical University

Mozgovoy P.V.

Volgograd State Medical University

Kitaeva A.V.

Volgograd State Medical University

Gorbunov D.E.

Volgograd State Medical University

Mikhin I.V.

Volgograd State Medical University

Trends in endovascular treatment and prevention of portal bleeding

Authors:

Mikhin S.V., Mozgovoy P.V., Kitaeva A.V., Gorbunov D.E., Mikhin I.V.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2024;(3): 38‑44

DOI: 10.17116/hirurgia202403138

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Table of contents

To cite this article:

Mikhin SV, Mozgovoy PV, Kitaeva AV, Gorbunov DE, Mikhin IV. Trends in endovascular treatment and prevention of portal bleeding. Pirogov Russian Journal of Surgery. 2024;(3):38‑44. (In Russ.)
https://doi.org/10.17116/hirurgia202403138

Подписка 2025 (Pirogov Russian Journal of Surgery)
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Bleeding from esophageal and gastric varices is a major factor of mortality in patients with portal hypertension. The gold standard for diagnosis of portal hypertension is hepatic venous pressure gradient determining the treatment algorithms and risk of recurrent bleeding. Combination of endoscopic methods and therapy is limited by varix localization and not always effective. In these cases, endovascular bypass and decoupling techniques are preferred. Early endovascular treatment of portal bleeding is effective for hemostasis and higher transplantation-free survival of patients. Early transjugular intrahepatic portosystemic bypass should be associated with 8-mm covered stents of controlled dilation. Combination of endovascular techniques reduces the complications of each technique and potentiates their positive effect. Endovascular treatment and prevention of portal bleeding should be determined by anatomical features of portal venous system.

Keywords:

portal hypertension
esophageal varices
gastric varices
portal bleeding
liver cirrhosis
endovascular techniques
hepatic venous pressure gradient

Authors:

Mikhin S.V.

Volgograd State Medical University

Mozgovoy P.V.

Volgograd State Medical University

Kitaeva A.V.

Volgograd State Medical University

Gorbunov D.E.

Volgograd State Medical University

Mikhin I.V.

Volgograd State Medical University

Received:

01.08.2023

Accepted:

10.09.2023

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