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Insights into Imaging
Fig. 5 | Insights into Imaging

Fig. 5

From: Role of interventional radiology in the management of complications after pancreatic surgery: a pictorial review

Fig. 5

Treatment of a patient with postoperative mesenteric vein stenosis and thrombosis by percutaneous transhepatic stenting, thromboaspiration, and thrombolysis through a transjugular approach (the case has been partially previously reported [18]). a Maximum intensity projection reconstruction of abdominal MDCT shows surgical vascular graft (black arrow) at the level of the superior mesenteric vein and ascitic fluid (asterisks) b Percutaneous transhepatic angiography demonstrates stenosis at the level of proximal (black arrow) and distal (white arrow) anastomoses of the PTFE graft. c Angiography after stent placement (black arrow proximal stent, white arrow distal stent) demonstrating resolution of the stenosis. d MDCT MIP reconstruction and e axial image showing intra-stent thrombosis (white arrow) and ascitic fluid (asterisks). f Contrast injection in SMV (arrow) demonstrates complete vessel occlusion. g Angiography after aspiration thrombectomy and angioplasty shows residual thrombus (arrow). h Complete resolution and calibre restoration after direct thrombolysis with rt-PA

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