Percutaneous transhepatic portal embolization using newly devised catheters: Preliminary report
Percutaneous transhepatic portal embolization using newly devised catheters: Preliminary report
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使用新设计的导管进行经皮肝穿刺门栓塞：初步报告
DOI：
10.1007/bf01655112
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发表时间：
1993
影响因子：
2.6
通讯作者：
N. Hayakawa
中科院分区：
文献类型：
--
作者：
M. Nagino;Y. Nimura;N. Hayakawa
设计了两个5.5 Fr三腔球囊导管，以改善经皮经肝动脉门静脉栓塞（PTPE）作为接受广泛肝切除术患者的术前管理。使用这些导管，通过肝门静脉分支实现栓塞的同侧入路，使用与碘油混合的纤维蛋白胶作为栓塞材料。经证明，该入路比传统的对侧入路更安全可靠：（1）穿刺待切除的门静脉分支;（2）通过一次门静脉穿刺同时进行左、右前门静脉栓塞;（3）PTPE后可立即取出导管鞘，无需进一步治疗。
Two 5.5 French triple-lumen balloon catheters were devised to improve percutaneous transhepatic portal embolization (PTPE) as preoperative management of patients undergoing extensive liver resection. Using these catheters, an ipsilateral approach for embolization is achieved through a portal branch of the liver using fibrin glue mixed with Lipiodol as the embolic material. This approach proved safer and more reliable than the traditional contralateral approach: (1) The portal branch to be resected is punctured; (2) the left and right anterior portal embolization is conducted simultaneously through a single portal puncture; and (3) the catheter sheath can consequentially be removed soon after PTPE without requiring further treatment.