Long-term follow-up of distal splenorenal shunts: evaluation by arteriography, shuntography, transhepatic portal venography, and cinefluorography.
Long-term follow-up of distal splenorenal shunts: evaluation by arteriography, shuntography, transhepatic portal venography, and cinefluorography.
复制标题
远端脾肾分流术的长期随访：通过动脉造影、分流造影、肝门静脉造影和荧光摄影进行评估。
DOI：
10.1148/radiology.134.2.7352211
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发表时间：
1980
期刊：
影响因子：
19.7
通讯作者：
D. Nabseth
中科院分区：
文献类型：
--
作者：
W. Widrich;A. Robbins;W. C. Johnson;D. Nabseth
8例远端脾肾分流未闭患者在22至36个月的间隔后进行了研究。血流动力学和解剖学变化的演变通过经皮经肝门静脉置管、碘化油滴的电影x线摄影、经股脾肾造影和腹腔动脉造影记录。变化包括(a)门静脉压力梯度降低，(b)分流动脉和肝动脉的大小和流量增加，(c)门静脉流量逆转，(d)侧枝明显扩张，从肠系膜上静脉流向分流静脉，(e)心输出量增加。
Eight patients with patent distal splenorenal shunts were studied after a 22- to 36-month interval. Evolution of hemodynamic and anatomical changes was documented by percutaneous transhepatic portal catheterization, cinefluorography using ethiodized oil droplets, transfemoral splenorenal shuntography, and celiac arteriography. Changes included (a) a decrease in the portosystemic venous pressure gradient, (b) an increase in the size of and flow through both the shunt and the hepatic artery, (c) reversal of portal venous flow, (d) marked dilatation of collaterals and diversion of flow from the superior mesenteric vein to the shunt, and (e) an increase in cardiac output.