Transjugular portal venography and radiologic portacaval shunt: an experimental study.
Transjugular portal venography and radiologic portacaval shunt: an experimental study.
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DOI：
10.1148/92.5.1112
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发表时间：
1969-04
期刊：
影响因子：
19.7
通讯作者：
J. Rösch*;W. Hanafee;H. Snow
中科院分区：
文献类型：
--
作者：
J. Rösch*;W. Hanafee;H. Snow
传统的门静脉系统混浊方法是脾门静脉造影(1)和动脉内注射造影剂到内脏动脉(6)。更新奇的方法包括经腰椎门静脉穿刺(4)，脐静脉置管(2)，脊髓麻醉下痔静脉插管(7)，或剖腹切开肠系膜静脉分支插管(5)。所有方法都能产生良好到公平的门静脉系统混浊，但不允许选择性注射造影剂或在静脉系统中进行操作程序。两年来，我们进行了胆管造影(3)，通过改良的罗斯针和导管系统，沿着颈内静脉和上腔静脉，穿过右心房进入下腔静脉，然后进入肝静脉，以便从肝脏内部刺穿胆管系统。采用同样的方法，可以刺穿门静脉的一个主要分支，并将导管插入。
Conventional methods of opacifying the portal system are splenic portography (1) and intra-arterial contrast injections into the visceral arteries with delayed films (6). More exotic means reported include translumbar portal vein puncture (4), umbilical vein catheterization (2), hemorrhoidal vein cannulization under spinal anesthesia (7), or laparotomy with cannulization of a mesenteric vein branch (5). All methods produce good to fair opacification of the portal venous system but allow no selectivity of contrast injections or opportunities for manipulative procedures in the venous system. For two years we have performed cholangiography (3) by passing a modified Ross needle and catheter system down the internal jugular vein and superior vena cava, across the right atrium into the inferior vena cava, and then into the hepatic veins in order to puncture the biliary duct system from inside the liver. With this same approach, one of the major branches of the portal vein can be punctured and the catheter inser...