{"id":6727,"date":"2021-10-22T16:42:21","date_gmt":"2021-10-22T16:42:21","guid":{"rendered":"https:\/\/scholbach.de\/?page_id=6727"},"modified":"2021-10-25T13:21:59","modified_gmt":"2021-10-25T13:21:59","slug":"one-stent-reducing-1-compression-creating-3-new-compressions","status":"publish","type":"page","link":"https:\/\/scholbach.de\/pt\/one-stent-reducing-1-compression-creating-3-new-compressions","title":{"rendered":"One stent &#8211; reducing 1 compression &#8211; creating 3 new compressions"},"content":{"rendered":"<p class=\"qtranxs-available-languages-message qtranxs-available-languages-message-pt\">Desculpe, este conte\u00fado s\u00f3 est\u00e1 dispon\u00edvel em <a href=\"https:\/\/scholbach.de\/en\/wp-json\/wp\/v2\/pages\/6727\" class=\"qtranxs-available-language-link qtranxs-available-language-link-en\" title=\"English\">English<\/a> e <a href=\"https:\/\/scholbach.de\/de\/wp-json\/wp\/v2\/pages\/6727\" class=\"qtranxs-available-language-link qtranxs-available-language-link-de\" title=\"Deutsch\">Deutsch<\/a>.<\/p><p>A 24 years old lady got a stent into her left renal vein to reduce her very painful pelvic congestion.<\/p>\n<div id=\"attachment_6729\" style=\"width: 310px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/scholbach.de\/wp-content\/uploads\/2021\/10\/Folie1.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-6729\" class=\"wp-image-6729 size-medium\" src=\"https:\/\/scholbach.de\/wp-content\/uploads\/2021\/10\/Folie1-300x169.jpg\" alt=\"\" width=\"300\" height=\"169\" srcset=\"https:\/\/scholbach.de\/wp-content\/uploads\/2021\/10\/Folie1-300x169.jpg 300w, https:\/\/scholbach.de\/wp-content\/uploads\/2021\/10\/Folie1-1024x576.jpg 1024w, https:\/\/scholbach.de\/wp-content\/uploads\/2021\/10\/Folie1-768x432.jpg 768w, https:\/\/scholbach.de\/wp-content\/uploads\/2021\/10\/Folie1-600x338.jpg 600w, https:\/\/scholbach.de\/wp-content\/uploads\/2021\/10\/Folie1.jpg 1280w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><p id=\"caption-attachment-6729\" class=\"wp-caption-text\">Left renal vein compression before stenting<\/p><\/div>\n<p>She ended up with inreasing pelvic pain, can neither stand or walk for more than 5 minutes.<\/p>\n<p>The reason is: no improvement of the left renal vein&#8217;s transport capacity despite a stent who relieved her left renal vein compression.<\/p>\n<p>But the same stent produced 3 new stretch-compressions.<\/p>\n<p>&nbsp;<\/p>\n<div id=\"attachment_6730\" style=\"width: 310px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/scholbach.de\/wp-content\/uploads\/2021\/10\/Folie2.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-6730\" class=\"wp-image-6730 size-medium\" src=\"https:\/\/scholbach.de\/wp-content\/uploads\/2021\/10\/Folie2-300x169.jpg\" alt=\"\" width=\"300\" height=\"169\" srcset=\"https:\/\/scholbach.de\/wp-content\/uploads\/2021\/10\/Folie2-300x169.jpg 300w, https:\/\/scholbach.de\/wp-content\/uploads\/2021\/10\/Folie2-1024x576.jpg 1024w, https:\/\/scholbach.de\/wp-content\/uploads\/2021\/10\/Folie2-768x432.jpg 768w, https:\/\/scholbach.de\/wp-content\/uploads\/2021\/10\/Folie2-600x338.jpg 600w, https:\/\/scholbach.de\/wp-content\/uploads\/2021\/10\/Folie2.jpg 1280w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><p id=\"caption-attachment-6730\" class=\"wp-caption-text\">3 new compressions after treating one primary compression<\/p><\/div>\n<ol>\n<li>The vena cava was stretched ventrally by the stent which is elastic and thus pulls the vena cava ventrally. This produces a curtain effect in front of the right stent opening thus blocking the stent at its exit. Subsequently, no sufficient stent function was achieved. This can be shown by the PixelFlux measurement of both kidney&#8217;s perfusion<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<div id=\"attachment_6733\" style=\"width: 310px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/scholbach.de\/wp-content\/uploads\/2021\/10\/Folie3.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-6733\" class=\"wp-image-6733 size-medium\" src=\"https:\/\/scholbach.de\/wp-content\/uploads\/2021\/10\/Folie3-300x169.jpg\" alt=\"\" width=\"300\" height=\"169\" srcset=\"https:\/\/scholbach.de\/wp-content\/uploads\/2021\/10\/Folie3-300x169.jpg 300w, https:\/\/scholbach.de\/wp-content\/uploads\/2021\/10\/Folie3-1024x576.jpg 1024w, https:\/\/scholbach.de\/wp-content\/uploads\/2021\/10\/Folie3-768x432.jpg 768w, https:\/\/scholbach.de\/wp-content\/uploads\/2021\/10\/Folie3-600x338.jpg 600w, https:\/\/scholbach.de\/wp-content\/uploads\/2021\/10\/Folie3.jpg 1280w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><p id=\"caption-attachment-6733\" class=\"wp-caption-text\">The stent is an elastic spring, pulling the vena cava ventrally. This stretches the vein and narrows the outflow from the stent, being responsible for the stent failure despite the stent is open.<\/p><\/div>\n<div id=\"attachment_6731\" style=\"width: 310px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/scholbach.de\/wp-content\/uploads\/2021\/10\/VCI-stretched-diagr-4.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-6731\" class=\"wp-image-6731 size-medium\" src=\"https:\/\/scholbach.de\/wp-content\/uploads\/2021\/10\/VCI-stretched-diagr-4-300x169.jpg\" alt=\"\" width=\"300\" height=\"169\" srcset=\"https:\/\/scholbach.de\/wp-content\/uploads\/2021\/10\/VCI-stretched-diagr-4-300x169.jpg 300w, https:\/\/scholbach.de\/wp-content\/uploads\/2021\/10\/VCI-stretched-diagr-4-1024x576.jpg 1024w, https:\/\/scholbach.de\/wp-content\/uploads\/2021\/10\/VCI-stretched-diagr-4-768x432.jpg 768w, https:\/\/scholbach.de\/wp-content\/uploads\/2021\/10\/VCI-stretched-diagr-4-600x338.jpg 600w, https:\/\/scholbach.de\/wp-content\/uploads\/2021\/10\/VCI-stretched-diagr-4.jpg 1280w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><p id=\"caption-attachment-6731\" class=\"wp-caption-text\">PixelFlux measurements clearly show that the stent is not working properly despite opening the primary left renal vein compression.Theblood flow in the left kidneyy is only 23 % of the right one, thus producing a severe pelvic congestion.<\/p><\/div>\n<p>2. The right renal vein is also stretched and thus stretch-compressed, producing an outflow obstruction of the right kidney<\/p>\n<div id=\"attachment_6732\" style=\"width: 310px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/scholbach.de\/wp-content\/uploads\/2021\/10\/Folie2-1.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-6732\" class=\"wp-image-6732 size-medium\" src=\"https:\/\/scholbach.de\/wp-content\/uploads\/2021\/10\/Folie2-1-300x169.jpg\" alt=\"\" width=\"300\" height=\"169\" srcset=\"https:\/\/scholbach.de\/wp-content\/uploads\/2021\/10\/Folie2-1-300x169.jpg 300w, https:\/\/scholbach.de\/wp-content\/uploads\/2021\/10\/Folie2-1-1024x576.jpg 1024w, https:\/\/scholbach.de\/wp-content\/uploads\/2021\/10\/Folie2-1-768x432.jpg 768w, https:\/\/scholbach.de\/wp-content\/uploads\/2021\/10\/Folie2-1-600x338.jpg 600w, https:\/\/scholbach.de\/wp-content\/uploads\/2021\/10\/Folie2-1.jpg 1280w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><p id=\"caption-attachment-6732\" class=\"wp-caption-text\">Synopsis of the deleterious effect of the left renal venous stent<\/p><\/div>\n<p>3. The splenic vein is now stretch-compressed due to the ventral uplifting of the superior mesenteric artery by the left renal venous stent<\/p>\n<p>&nbsp;<\/p>","protected":false},"excerpt":{"rendered":"<p>Desculpe, este conte\u00fado s\u00f3 est\u00e1 dispon\u00edvel em English e Deutsch.A 24 years old lady got a stent into her left renal vein to reduce her very painful pelvic congestion. She ended up with inreasing pelvic pain, can neither stand or walk for more than 5 minutes. The reason is: no improvement of the left renal [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"om_disable_all_campaigns":false,"footnotes":""},"class_list":["post-6727","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/scholbach.de\/pt\/wp-json\/wp\/v2\/pages\/6727","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/scholbach.de\/pt\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/scholbach.de\/pt\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/scholbach.de\/pt\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/scholbach.de\/pt\/wp-json\/wp\/v2\/comments?post=6727"}],"version-history":[{"count":12,"href":"https:\/\/scholbach.de\/pt\/wp-json\/wp\/v2\/pages\/6727\/revisions"}],"predecessor-version":[{"id":6750,"href":"https:\/\/scholbach.de\/pt\/wp-json\/wp\/v2\/pages\/6727\/revisions\/6750"}],"wp:attachment":[{"href":"https:\/\/scholbach.de\/pt\/wp-json\/wp\/v2\/media?parent=6727"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}