Bloch R, Fontaine A, Borsa J, Hoffer E, Kowdley K
Department of Radiology, University of Washington School of Medicine, 1959 NE Pacific Street, Seattle, WA 98195, USA.
Cardiovasc Intervent Radiol. 2001 Mar-Apr;24(2):106-10. doi: 10.1007/s002700002529.
A patient with superior vena cava (SVC) occlusion presented with severe ascites and urgent transjugular intrahepatic portosystemic shunt (TIPS) was requested. The patient had a chronically occluded SVC. An alternative to classic TIPS was employed using CT guidance to traverse the left portal vein to the inferior vena cava with a small gauge needle. Fluoroscopic guidance was then used to snare a wire placed through the needle and then work from the femoral vein to create a portocaval shunt that passed through the caudate lobe. This procedure was a technical success and improved the patient's ascites.
一名患有上腔静脉（SVC）阻塞的患者出现严重腹水，因此需要进行紧急经颈静脉肝内门体分流术（TIPS）。该患者的上腔静脉长期闭塞。采用了一种替代传统TIPS的方法，在CT引导下用细针从左门静脉穿至下腔静脉。然后在荧光镜引导下套住通过针头置入的导丝，接着从股静脉开始操作，建立一条穿过尾状叶的门腔分流通道。该手术在技术上取得成功，患者的腹水症状得到改善。
