中文｜English
ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R
Volume 42 Issue 5
May  2026
Turn off MathJax
Article Contents
Article Navigation >  Journal of Clinical Hepatology  > 2026  >  42(5): 1149-1152

Transjugular extrahepatic portosystemic shunt assisted by endoscopic ultrasound-guided portal vein localization in treatment of cavernous transformation of the portal vein： A case report

DOI: 10.12449/JCH260521

  • Department of Gastroenterology，Affiliated Drum Tower Hospital of Nanjing University Medical School，Nanjing 210008，China

Research funding:

Nanjing Drum Tower Hospital Medical New Technology Development Project (XJSFZLX202328)

More Information
  • Corresponding author: ZHANG Feng， fzdndx@126.com （ORCID： 0000-0002-3653-5977）
  • Received Date: 2025-08-04
  • Accepted Date: 2025-11-28
  • Published Date: 2026-05-25
    Abstract
  • Cavernous transformation of the portal vein （CTPV） is a significant challenge in clinical practice. In recent years， transjugular intrahepatic portosystemic shunt has gradually been applied in the treatment of CTPV patients， but it had a technical success rate and a relatively high surgical risk. The scholars have adopted various modified techniques of portosystemic shunt to improve success rate and safety. However， for CTPV patients with extensive occlusion of the main portal vein， this surgery remains difficult， and individualized strategies for portosystemic shunt should be formulated. This article reports a case of CTPV treated by transjugular extrahepatic portosystemic shunt assisted by endoscopic ultrasound-guided portal vein localization， in order to explore a new pathway for the clinical management of patients with CTPV.

     

    • FullText(HTML)
  • loading
    • References(10)
  • [1]
    ZHANG F, ZHANG S, ZHANG W, et al. A case of portal vein cavernous degeneration treated with an endoscopic ultrasound-guided portal vein-assisted adjustable TIPS puncture set[J]. Chin J Hepatol, 2024, 32( 3): 245- 247. DOI: 10.3760/cma.j.cn501113-20231109-00188.

    张峰, 张松, 张玮, 等. 超声内镜标记门静脉辅助可调弯TIPS穿刺套装治疗门静脉海绵样变性1例[J]. 中华肝脏病杂志, 2024, 32( 3): 245- 247. DOI: 10.3760/cma.j.cn501113-20231109-00188.
    [2]
    WEI B, HUANG ZY, TANG CW. Optimal treatment for patients with cavernous transformation of the portal vein[J]. Front Med, 2022, 9: 853138. DOI: 10.3389/fmed.2022.853138.
    [3]
    FENG WJ, ZHOU N, WANG YL, et al. Portal vein thrombosis in liver cirrhosis: Risk factors and protection strategies[J]. J Clin Hepatol, 2024, 40( 1): 169- 174. DOI: 10.12449/JCH240128.

    冯文娟, 周宁, 汪雨露, 等. 肝硬化并发门静脉血栓的危险因素与防护策略[J]. 临床肝胆病杂志, 2024, 40( 1): 169- 174. DOI: 10.12449/JCH240128.
    [4]
    DAVIS JPE, LIM JK, FRANCIS FF, et al. AGA clinical practice update on management of portal vein thrombosis in patients with cirrhosis: Expert review[J]. Gastroenterology, 2025, 168( 2): 396- 404.e1. DOI: 10.1053/j.gastro.2024.10.038.
    [5]
    de CARVALHO MS, FERREIRA CN. Hot TIPS-success of transjugular intrahepatic portosystemic shunt in patients with cavernous transformation of the portal vein[J]. Dig Dis Sci, 2025, 70( 8): 2607- 2610. DOI: 10.1007/s10620-025-09087-8.
    [6]
    YAN JX, DENG MJ, WANG YX, et al. Transjugular intrahepatic portosystemic shunt for portal vein cavernous transformation: A systematic review and single-arm meta-analysis[J]. Dig Dis, 2022, 40( 6): 754- 765. DOI: 10.1159/000522313.
    [7]
    ZHU YD, LI WX, CUI MZ, et al. Study on the comparative analysis of the efficacy of transmesenteric vein extrahepatic portosystemic shunt and transjugular intrahepatic portosystemic shunt in the treatment of cavernous transformation of portal vein[J]. Chin J Hepatol, 2023, 31( 1): 90- 95. DOI: 10.3760/cma.j.cn501113-20221002-00485.

    朱亚东, 李卫校, 崔明哲, 等. 经肠系膜上静脉肝外门体分流术与经颈静脉肝内门体分流术治疗门静脉海绵样变的疗效对比[J]. 中华肝脏病杂志, 2023, 31( 1): 90- 95. DOI: 10.3760/cma.j.cn501113-20221002-00485.
    [8]
    ZHANG L, ZHU YJ, WANG XQ, et al. Efficacy and safety of precision-guided transjugular extrahepatic portosystemic shunt(TEPS) in the management of cavernous transformation of the portal vein with portal hypertension: A case series[J]. Hepatol Int, 2024, 18( 4): 1227- 1237. DOI: 10.1007/s12072-024-10656-8.
    [9]
    WANG XB, DING F, FANG J, et al. Transjugular intrahepatic portosystemic shunt combined with endoscopic ultrasonography for portal vein recanalization and biopsy in malignant occlusion of the portal vein[J]. Endoscopy, 2024, 56( S1): E1128- E1130. DOI: 10.1055/a-2491-6852.
    [10]
    TIE J, GOU XY, HE CY, et al. Transjugular intrahepatic collateral-systemic shunt is effective for cavernous transformation of the portal vein with variceal bleeding[J]. Hepatol Int, 2023, 17( 4): 979- 988. DOI: 10.1007/s12072-023-10522-z.
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(4)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (25) PDF downloads(7) Cited by()
    Proportional views
    Related
        

    The first journal specializing in hepatobiliary and pancreatic diseases in China

    Supervisor：Ministry of Education of the People's Republic of China

    Sponsor：Jilin University

    Academic Support: Chinese Society of Hepatology，Chinese Medical Association

    Address: 461 Xinjiang Road, Changchun

    Submit：0431-88782044

    Peer review：0431-88783542

    Email：lcgdb@vip.163.com

    About Journal

    Submission Guideline

    Journal Online

    Hepatobiliary College

    Guidelines

    YesterdayIP[]YesterdayPV[]TodayIP[]TodayPV[]Online[]

    Website Design © 2020 Editorial Board of Journal of Clinical Hepatology 吉ICP备10000617号-1 Supported by: Beijing Renhe Information Technology Co. Ltd  

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return