{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,8,31]],"date-time":"2022-08-31T23:13:07Z","timestamp":1661987587973},"reference-count":22,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Semin intervent Radiol"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Therapeutic thoracentesis is a first-line therapy in the management of patients with medically refractory, nonmalignant pleural effusion. However, when required in short intervals, serial thoracenteses can lead to increased procedure-related complications and negatively impact quality of life. Alternative treatment options vary depending on the etiology of fluid accumulation. Hepatic hydrothorax secondary to cirrhosis is a common cause of medically refractory pleural effusion encountered by interventional radiologists. In select patients in whom surgical pleurodesis, transjugular intrahepatic portosystemic shunt placement, and\/or tunneled pleural catheter placement cannot be performed or provide inadequate relief, implantation of a pleurovenous (Denver) shunt may assist in palliation. The Denver shunt system allows decompression of pleural fluid into the central venous circulation by utilizing unidirectional valves and a manually operated subcutaneous pump. Though limited reports have described favorable technical and clinical success, more research is required to determine the safety and efficacy of this procedure. This article discusses pleurovenous shunt placement, postprocedure shunt evaluation, and potential associated complications.<\/jats:p>","DOI":"10.1055\/s-0042-1751296","type":"journal-article","created":{"date-parts":[[2022,8,31]],"date-time":"2022-08-31T22:35:10Z","timestamp":1661985310000},"page":"248-252","source":"Crossref","is-referenced-by-count":0,"title":["Pleurovenous Shunt Placement for the Management of Nonmalignant Pleural Effusion"],"prefix":"10.1055","volume":"39","author":[{"given":"Andy","family":"Awwad","sequence":"additional","affiliation":[{"name":"Division of Interventional Radiology, University of California San Diego School of Medicine, San Diego, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zach","family":"Berman","sequence":"additional","affiliation":[{"name":"Division of Interventional Radiology, University of California San Diego School of Medicine, San Diego, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeet","family":"Minocha","sequence":"additional","affiliation":[{"name":"Division of Interventional Radiology, University of California San Diego School of Medicine, San Diego, California"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,8,31]]},"reference":[{"issue":"04","key":"ref1","doi-asserted-by":"crossref","first-page":"580","DOI":"10.1097\/00000658-197410000-00023","article-title":"Peritoneo-venous shunting for ascites","volume":"180","author":"H H Leveen","year":"1974","journal-title":"Ann Surg"},{"issue":"09","key":"ref2","doi-asserted-by":"crossref","first-page":"663","DOI":"10.1002\/bjs.1800670920","article-title":"Peritoneovenous shunting for ascites in cancer patients","volume":"67","author":"J Oosterlee","year":"1980","journal-title":"Br J Surg"},{"issue":"05","key":"ref4","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1016\/0011-5029(92)90007-C","article-title":"Pleural diseases","volume":"38","author":"R W Light","year":"1992","journal-title":"Dis Mon"},{"issue":"05","key":"ref5","doi-asserted-by":"crossref","first-page":"1099","DOI":"10.1016\/j.chest.2016.12.014","article-title":"Nonmalignant pleural effusions: a prospective study of 265 consecutive unselected patients","volume":"151","author":"S P Walker","year":"2017","journal-title":"Chest"},{"issue":"06","key":"ref6","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1055\/s-2001-18803","article-title":"Hepatic hydrothorax","volume":"22","author":"J R Milanez de Campos","year":"2001","journal-title":"Semin Respir Crit Care Med"},{"issue":"13","key":"ref7","doi-asserted-by":"crossref","first-page":"1797","DOI":"10.4254\/wjh.v7.i13.1797","article-title":"Transjugular intrahepatic portosystemic stent shunt for medically refractory hepatic hydrothorax: a systematic review and cumulative meta-analysis","volume":"7","author":"I C Ditah","year":"2015","journal-title":"World J Hepatol"},{"issue":"02","key":"ref8","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1016\/S0016-5085(77)80095-4","article-title":"Tetracycline-induced pleural symphysis for recurrent hydrothorax complicating cirrhosis. 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