Ostertun B, Harder T, Schneider B, Hörschler G
Radiologische Klinik der Universität Bonn.
Rofo. 1989 Oct;151(4):460-4. doi: 10.1055/s-2008-1047215.
In 37 patients with porto-caval shunts, the operation site was examined on 40 occasions by i.a. DSA (25 Warren shunts, four Linton shunts and eight Drapanas shunts). The problem of shunt persistence could be resolved on 39 occasions. Only once was it not possible to evaluate the shunt because of artifacts. Artifacts caused by breathing, peristalsis and low contrast in the portal-venous segment did not prove serious problems in evaluating shunt patency. Intra-arterial DSA provides a comprehensive demonstration of the portal venous vascular territory and permits evaluation of post-operative haemodynamics.
在37例接受门腔分流术的患者中,通过动脉数字减影血管造影(DSA)对手术部位进行了40次检查(25例沃伦分流术、4例林顿分流术和8例德拉帕纳斯分流术)。39次能够解决分流持续存在的问题。仅一次因伪影无法评估分流情况。呼吸、蠕动以及门静脉段造影剂浓度低所造成的伪影,在评估分流通畅性方面并非严重问题。动脉内DSA可全面显示门静脉血管区域,并能评估术后血流动力学情况。