2023
Large left varicocele in a patient with portal hypertension treated via transjugular intrahepatic portosystemic shunt placement and both variceal and varicocele embolization
Megahed A, Schlachter T, Cornman-Homonoff J. Large left varicocele in a patient with portal hypertension treated via transjugular intrahepatic portosystemic shunt placement and both variceal and varicocele embolization. BMC Urology 2023, 23: 94. PMID: 37189067, PMCID: PMC10184390, DOI: 10.1186/s12894-023-01268-9.Peer-Reviewed Case Reports and Technical NotesConceptsVaricocele embolizationPortal hypertensionLeft varicoceleCirrhosis/portal hypertensionIntrahepatic portosystemic shunt placementTransjugular intrahepatic portosystemic shunt placementTransjugular intrahepatic portosystemic shuntAlcohol-related cirrhosisLeft renal veinPortosystemic shunt placementPresence of varicesHistory of cirrhosisIntrahepatic portosystemic shuntContrast-enhanced CTConclusionIn patientsGastric varicesPortosystemic collateralsRare presentationRenal veinShunt placementCase presentationWePortosystemic shuntSplenic veinVariceal embolizationTesticular vein
2021
Management of Refractory Ascites Due to Portal Hypertension: Current Status.
Madoff DC, Cornman-Homonoff J, Fortune BE, Gaba RC, Lipnik AJ, Yarmohammadi H, Ray CE. Management of Refractory Ascites Due to Portal Hypertension: Current Status. Radiology 2021, 298: 493-504. PMID: 33497318, DOI: 10.1148/radiol.2021201960.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsConceptsRefractory ascitesPortal hypertensionTransjugular intrahepatic portosystemic shuntLarge-volume paracentesesCirrhotic portal hypertensionAvailable therapeutic optionsIntrahepatic portosystemic shuntStepwise management approachMost patientsMedical managementPoor prognosisPortosystemic shuntTherapeutic optionsTreatment optionsMultiple therapiesPatient outcomesAppropriate treatmentClinical experienceDrainage deviceSpecific patientAscitesHypertensionPatientsParacentesesPrognosis