Weigand H, Georgi M
Rofo. 1978 Dec;129(6):692-4. doi: 10.1055/s-0029-1231188.
The value of selective and superselective arteriography is limited. The difficulties in differentiation between tumors and chronic pancreatitis make it frequently impossible to come to an early diagnosis by the method. Beside arterial vessel changes pathological venous lesions may play a role in view of resectability. Because of anatomical structures phlebography of the vena portae and its origens is not commonly used. Especially selective pancreas phlebography is possible only by means of indirect catherterization. Among the different techniques the transumbilical route seems to be mort effective than recently thought of. In this paper a new technique of pancreas phlebography by means of catheterization of the umbilical vein is introduced. Twelve präparations of human pancreas at autopsy and six postmortal catheterizations of the portal veins in situ in man have been studied. First results of this occlusion-phlebography of the pancreas are presented for the first time. Problems are discussed which may arise when applicating this method in vivo. In is expected to get more important angiographic information about pancreatic diseases. Certainly it can be used to investigate hemodynamic and biochemical changes.
选择性和超选择性动脉造影的价值有限。肿瘤与慢性胰腺炎之间的鉴别困难使得通过该方法常常无法早期诊断。除了动脉血管变化外，鉴于可切除性，病理性静脉病变可能也起作用。由于解剖结构，门静脉及其起源的静脉造影术并不常用。特别是选择性胰腺静脉造影仅通过间接插管才能进行。在不同技术中，经脐途径似乎比最近认为的更有效。本文介绍了一种通过脐静脉插管进行胰腺静脉造影的新技术。对12例人体胰腺尸检标本和6例人体门静脉原位死后插管进行了研究。首次展示了这种胰腺闭塞性静脉造影的初步结果。讨论了在体内应用该方法时可能出现的问题。预计能获得更多有关胰腺疾病的重要血管造影信息。当然，它可用于研究血流动力学和生化变化。
