Vascular Liver Disorders Will Gelson Consultant Hepatologist Addenbrookes
Vascular Liver Disorders Will Gelson Consultant Hepatologist Addenbrooke’s Hospital April 2020
Circulatory Hepatic artery Portal vein Hepatic vein Vascular Anatomy https: //easternliver. net Non-cirrhotic
Circulatory Hepatic artery Portal vein Hepatic vein Circulatory Disorders • Ischaemic hepatopathy • Congestive hepatopathy https: //easternliver. net Non-cirrhotic
Circulatory Hepatic artery Portal vein Hepatic Artery Disorders • Embolism/thrombosis • Aneurysms • Shunts https: //easternliver. net Non-cirrhotic
Circulatory Hepatic artery Portal vein Hepatic vein Portal Vein Thrombosis • Presentation (acute vs chronic) • Causes: https: //easternliver. net Non-cirrhotic
Circulatory Hepatic artery Portal vein Hepatic vein Non-cirrhotic Management of PVT • Diagnosed radiologically Acute • Management usually by removing the cause and anticoagulation Chronic • Management of complications and consideration of anticoagulation https: //easternliver. net
Circulatory Hepatic artery Portal vein Hepatic Vein Thrombosis (Budd Chiari Syndrome) • Acute (acute on chronic) vs chronic • Management: – Assessment and addressing cause – Anticoagulation – Dealing with complications – Interventional radiology – Liver transplantation (acute and chronic) https: //easternliver. net Non-cirrhotic
Circulatory Hepatic artery Portal vein Hepatic vein Non-cirrhotic Portal Hypertension • Group of vascular disorders characterised by portal hypertension in the absence of cirrhosis https: //easternliver. net
Circulatory Hepatic artery Portal vein Hepatic vein Questions and “Wiki” • william. gelson@addenbrookes. nhs. uk • Hepatology “wiki” • Power point files https: //easternliver. net Non-cirrhotic
- Slides: 9