Transjugular intrahepatic portosystemic shunt creation in a polycystic liver facilitated by hybrid cross-sectional/angiographic imaging
Transjugular intrahepatic portosystemic shunt creation in a polycystic liver facilitated by hybrid cross-sectional/angiographic imaging
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DOI：
10.1097/01.rvi.0000208984.17697.58
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发表时间：
2006-04-01
影响因子：
2.9
通讯作者：
Frisoli, JK
中科院分区：
文献类型：
--
作者：
Sze, DY;Strobel, N;Frisoli, JK
长期以来，多囊肝病（PCLD）被认为是经颈静脉肝内门体分流术（TIPS）的禁忌症，主要是因为出血的风险。随着C形臂锥形束计算机断层扫描的发展，现在可以在手术过程中在扩大的和潜在的迷失方向的实质内进行三维（313）导航，这依赖于已经用于血管造影的相同设备。这种混合3D重建使能血管造影系统用于PCLD患者TIPS手术的安全图像引导。这项技术有可能加快任何需要3D导航的图像引导手术。
Polycystic liver disease (PCLD) has long been considered to represent a contraindication to transjugular intrahepatic portosystemic shunt (TIPS) creation, primarily because of the risk of hemorrhage. Three-dimensional (313) navigation within the enlarged and potentially disorienting parenchyma can now be performed during the procedure with the development of C-arm cone-beam computed tomography, which relies on the same equipment already used for angiography. Such a hybrid 3D reconstruction-enabled angiography system was used for safe image guidance of a TIPS procedure in a patient with PCLD. This technology has the potential to expedite any image-guided procedure that requires 3D navigation.