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Published in: Pediatric Radiology 4/2023

Open Access 19-09-2022 | Interventional Radiology | ESPR

Pediatric liver cirrhosis interventional procedures: from biopsy to transjugular intrahepatic portosystemic shunt

Authors: Gian Luigi Natali, Giulia Cassanelli, Guglielmo Paolantonio, George Koshy Parapatt, Lorenzo Maria Gregori, Massimo Rollo

Published in: Pediatric Radiology | Issue 4/2023

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Abstract

Cirrhosis is a complex diffuse process whereby the architecture of the liver is replaced by abnormal nodules because of the presence of fibrosis. Several pediatric diseases such as extrahepatic portal vein obstruction, biliary atresia, alpha-1-antitrypsin deficit and autoimmune hepatitis can lead to cirrhosis and portal hypertension in children. In this article the authors describe interventional radiology procedures that can facilitate the diagnosis and treatment of diseases associated with liver cirrhosis and portal hypertension in the pediatric population. These procedures include image-guided liver biopsy, mesenteric–intrahepatic left portal vein shunts, balloon-occluded retrograde transvenous obliteration, transjugular intrahepatic portosystemic shunts and splenic embolization.
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Metadata
Title
Pediatric liver cirrhosis interventional procedures: from biopsy to transjugular intrahepatic portosystemic shunt
Authors
Gian Luigi Natali
Giulia Cassanelli
Guglielmo Paolantonio
George Koshy Parapatt
Lorenzo Maria Gregori
Massimo Rollo
Publication date
19-09-2022
Publisher
Springer Berlin Heidelberg
Published in
Pediatric Radiology / Issue 4/2023
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-022-05492-7

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