Martin Louis G
Department of Radiology, Emory University School of Medicine, Atlanta, Georgia.
Semin Intervent Radiol. 2012 Jun;29(2):129-34. doi: 10.1055/s-0032-1312574.
Peritoneovenous shunts are used in the treatment of recurrent ascites or recurrent pleural effusions. Generally speaking, the shunts allow passage of ascites or pleural effusions (by either passive or active means) back into the central venous system. The most recent development in peritoneovenous shunts, known as the Denver Shunt, is a modification of a shunt developed for the treatment of hydrocephalus. In recent years, the Denver shunt has been placed by interventional radiologists. It is used to treat both cirrhotic and malignant effusions in the peritoneal and pleural cavities. Reported complications of the shunt are shunt occlusion, infection, post-shunt coagulopathy, deep vein thrombosis, catheter breakage, and leaks. This article discusses the technical aspects related to the percutaneous placement and maintenance of the Denver Shunt.
腹腔静脉分流术用于治疗复发性腹水或复发性胸腔积液。一般来说，这些分流装置可使腹水或胸腔积液（通过被动或主动方式）回流至中心静脉系统。腹腔静脉分流术的最新进展是丹佛分流术，它是为治疗脑积水而开发的一种分流装置的改良版。近年来，介入放射科医生开始放置丹佛分流管。它用于治疗腹腔和胸腔内的肝硬化性和恶性积液。报道的该分流管并发症包括分流管堵塞、感染、分流术后凝血病、深静脉血栓形成、导管断裂和渗漏。本文讨论了与丹佛分流管经皮放置和维护相关的技术问题。
