Treatment | Efficacy for improving gas exchange in HPS |
Physically occlude IPVDs | |
Spring coil embolization | Modest if technically possible |
Oppose circulating vasodilators | |
Octreotide (somatostatin analog) | Variable |
Nitric oxide synthase inhibitors | Variable |
Indomethacin | Poor |
Improve V/Q matching | |
Almitrine bismesylate | Slight |
Treat underlying liver disease | |
Chemotherapy and corticosteroids | Helpful in one patient |
Liver transplantation | Moderately good but variable response |
Treat portal hypertension | |
TIPS | Variable |
Other (miscellaneous) | |
Methylene blue | Variable in the few patients described |
Allium sativum (garlic) | Variable |
Propranolol | None |
Plasma exchange | None |
Sympathomimetics | None |
Aspirin | |
Pentoxifylline | |
Antibiotics | |
Mycophenolate mofetil | |
Sorafenib (tyrosine kinase inhibitor) | None |
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