Bussadori Roberto, Bussadori Claudio, Millán Lorena, Costilla Serafín, Rodríguez-Altónaga José Antonio, Orden María Asunción, Gonzalo-Orden José Manuel
Department of Surgery and Radiology, Faculty of Veterinary Medicine, University of León, 24071 León, Spain.
Vet J. 2008 May;176(2):221-6. doi: 10.1016/j.tvjl.2007.02.027. Epub 2007 Apr 26.
This article describes the treatment of single congenital portosystemic shunts (CPSs) (intrahepatic and extrahepatic) using an interventional radiology technique involving embolisation of anomalous vessels with percutaneous coils. Briefly, a multipurpose catheter was introduced into the caudal vena cava and then into the portosystemic shunt. An autoexpandable stent was placed in the caudal vena cava, next to the shunt, in order to avoid coil migrations, and a cobra-like vascular catheter was used to pass through the stent and to place the coils in the shunt. This technique was used for treatment of CPS in six dogs. The results indicate that percutaneous embolisation of a CPS using coils, a less invasive technique than the traditional surgical technique, may result in complete closure of the anomalous vessel without development of portal hypertension.
本文描述了使用一种介入放射学技术治疗单一先天性门体分流（CPSs）（肝内和肝外），该技术包括经皮用线圈栓塞异常血管。简要来说，将一根多功能导管插入尾腔静脉，然后进入门体分流。在靠近分流处的尾腔静脉中放置一个自膨式支架，以避免线圈移位，并用一根眼镜蛇样血管导管穿过支架，将线圈放置在分流中。该技术用于六只犬的CPS治疗。结果表明，与传统手术技术相比，使用线圈对CPS进行经皮栓塞是一种侵入性较小的技术，可能导致异常血管完全闭合而不发生门静脉高压。
