4D flow MRI-guided treatment of portal-hypertensive complications in a patient with multiple extrahepatic arterioportal shunts

Portal hypertension is the underlying reason for the development of complications like ascites or gastrointestinal varices in end-stage liver disease. On rare occasions, portal hypertension is caused by the formation of extrahepatic arterioportal shunts [1]. Four-dimensional flow magnetic resonance imaging (4D flow MRI) is a novel non-invasive technique enabling three-dimensional vascular imaging with time-resolved quantification of blood flow [2,3].

We report a case of 4D flow MRI-guided treatment of portal-hypertensive complications due to multiple extrahepatic arterioportal shunts.

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