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- W3207529516 abstract "A splenic arteriovenous fistula causes a prehepatic hypertension in the portal venous system with the double mechanism of an increased blood amount and mainly its high pressure inflow. It aggravates for a secondary fibrosis of the portal vein branches and capillarization of the hepatic sinusoids, adding a further intra-hepatic component. The subsequent development of portosystemic collaterals induces the risk of gastrointestinal hemorrhages All this suggests to perform a close monitoring of every case of splanchnic aneurysm or pseudo-aneurysm, through the current cross-section imaging tools, for their possible evolution in an arteriovenous fistula, and to consider an early therapy, also endovascular, before any secondary damage of the liver parenchyma. In this case the treatment of the portal vein hypertension can be ethiological and resolutive." @default.
- W3207529516 created "2021-10-25" @default.
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- W3207529516 date "2021-10-01" @default.
- W3207529516 modified "2023-09-26" @default.
- W3207529516 title "To the Editor: Pathophysiology of splenic arteriovenous fistula" @default.
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- W3207529516 doi "https://doi.org/10.1016/j.avsg.2021.09.018" @default.
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