Management of Portal Hypertension (2024)-M6-CIR09-2024

Video Transcription

Video Summary

The video provides an in-depth discussion on portal hypertension, covering its causes, pathogenesis, clinical management, and various interventional procedures available. Portal hypertension is characterized by a portal pressure gradient of 5 mmHg or higher, typically resulting from increased blood flow or vascular resistance. It can be classified based on anatomical locations into pre-hepatic, hepatic, and post-hepatic causes. Common causes include liver cirrhosis and conditions like Budd-Chiari syndrome.<br /><br />Key management strategies involve addressing variceal bleeding through interventions such as endoscopy and non-selective beta-blockers, while ascites management includes sodium restriction and diuretics. Interventional Radiology (IR) plays a critical role in treating complex cases of portal hypertension using techniques like TIPS (Transjugular Intrahepatic Portosystemic Shunt), BRTO (Balloon-Occluded Retrograde Transvenous Obliteration), and various shunt procedures.<br /><br />The video also explores advanced techniques for those with complex portal vein thrombosis, emphasizing a multidisciplinary approach to patient management. Successful intervention strategies require precise imaging, understanding of vascular anatomy, and the ability to navigate potential complications, showcasing how innovative IR methods can effectively manage challenging portal hypertension cases.

Keywords

portal hypertension

causes

clinical management

interventional procedures

liver cirrhosis

variceal bleeding

TIPS

multidisciplinary approach