Radiological and Surgical Treatments of Portal Hypertension

Abstract

Interventions for portal hypertension are continuously evolving and expanding beyond the realm of medical management. When complications such as varices and ascites persist despite conservative interventions, procedures including transjugular intrahepatic portosystemic shunt creation, transvenous obliteration, portal vein recanalization, splenic artery embolization, surgical shunt creation, and devascularization are all potential interventions detailed in this article. Selection of the optimal procedure to address the underlying cause, treat symptoms, and, in some cases, bridge to liver transplantation depends on the specific etiology of portal hypertension and the patient's comorbidities.

Keywords: Antegrade transvenous obliteration; Portal hypertension; Retrograde transvenous obliteration; Surgical shunt; Transjugular intrahepatic portosystemic shunt; Varices.