• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

右门静脉的解剖变异：发生率、影像学特征及其对成功建立经颈静脉肝内门体分流术的影响

Anatomic Variations of the Right Portal Vein: Prevalence, Imaging Features, and Implications for Successful Transjugular Intrahepatic Portosystemic Shunt Creation.

作者信息

Gunasekaran Senthil S, Gaba Ron C

机构信息

Department of Radiology, Division of Interventional Radiology, University of Illinois Hospital and Health Sciences System, Chicago, IL 60612, USA.

出版信息

J Clin Imaging Sci. 2017 Mar 28;7:14. doi: 10.4103/jcis.JCIS_10_17. eCollection 2017.

DOI:10.4103/jcis.JCIS_10_17
PMID:28515965
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5385700/
Abstract

Given the widespread use of transjugular intrahepatic portosystemic shunt (TIPS) creation for the treatment of portal hypertensive complications, a working knowledge of portal venous anatomy is critical for interventional radiologists. The right portal vein - which is most commonly accessed during TIPS - is subject to various anatomic variants that may potentially impact procedure success. This pictorial essay characterizes the anatomic patterns of the right portal vein branching in terms of type and frequency based on case series review. The work also explains the potential procedural implications of the right portal vein anatomic variations as they pertain to TIPS technical success.

摘要

鉴于经颈静脉肝内门体分流术（TIPS）在治疗门静脉高压并发症方面的广泛应用，了解门静脉解剖结构对于介入放射科医生至关重要。在TIPS手术中最常进入的右门静脉存在各种解剖变异，这些变异可能会影响手术的成功率。本文通过病例系列回顾，从类型和频率方面描述了右门静脉分支的解剖模式。该研究还解释了右门静脉解剖变异对TIPS技术成功的潜在手术影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d3b/5385700/cf477c972ed1/JCIS-7-14-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d3b/5385700/f2aa15b348eb/JCIS-7-14-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d3b/5385700/0a6cbc0bcb88/JCIS-7-14-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d3b/5385700/0491d25d7f62/JCIS-7-14-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d3b/5385700/29020c75c583/JCIS-7-14-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d3b/5385700/71fd3b1c51f2/JCIS-7-14-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d3b/5385700/cf477c972ed1/JCIS-7-14-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d3b/5385700/f2aa15b348eb/JCIS-7-14-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d3b/5385700/0a6cbc0bcb88/JCIS-7-14-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d3b/5385700/0491d25d7f62/JCIS-7-14-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d3b/5385700/29020c75c583/JCIS-7-14-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d3b/5385700/71fd3b1c51f2/JCIS-7-14-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d3b/5385700/cf477c972ed1/JCIS-7-14-g008.jpg

相似文献

1
Anatomic Variations of the Right Portal Vein: Prevalence, Imaging Features, and Implications for Successful Transjugular Intrahepatic Portosystemic Shunt Creation.右门静脉的解剖变异：发生率、影像学特征及其对成功建立经颈静脉肝内门体分流术的影响
J Clin Imaging Sci. 2017 Mar 28;7:14. doi: 10.4103/jcis.JCIS_10_17. eCollection 2017.
2
Percutaneous transhepatic balloon-assisted transjugular intrahepatic portosystemic shunt for chronic, totally occluded, portal vein thrombosis with symptomatic portal hypertension: procedure technique, safety, and clinical applications.经皮经肝球囊辅助经颈静脉肝内门体分流术治疗慢性、完全闭塞性门静脉血栓形成伴症状性门静脉高压：操作技术、安全性和临床应用。
Eur Radiol. 2015 Dec;25(12):3431-7. doi: 10.1007/s00330-015-3777-1. Epub 2015 Apr 23.
3
Impact of Anatomical, Procedural, and Operator Skill Factors on the Success and Duration of Fluoroscopy-Guided Transjugular Intrahepatic Portosystemic Shunt.解剖学、操作过程及操作者技能因素对透视引导下经颈静脉肝内门体分流术成功率及透视时间的影响
Cardiovasc Intervent Radiol. 2015 Aug;38(4):903-12. doi: 10.1007/s00270-014-1035-6. Epub 2014 Dec 13.
4
Transjugular intrahepatic portosystemic shunt stent-graft placement: mean optimal portal venous projection view determined by three-dimensional portography.经颈静脉肝内门体分流术支架移植物置入：通过三维门静脉造影确定平均最佳门静脉投影视图。
Acta Radiol. 2013 Jun;54(5):516-20. doi: 10.1258/ar.2012.120403. Epub 2013 Apr 30.
5
Portal anatomic variants relevant to transjugular intrahepatic portosystemic shunt.与经颈静脉肝内门体分流术相关的门静脉解剖变异
Tech Vasc Interv Radiol. 2008 Dec;11(4):203-7. doi: 10.1053/j.tvir.2009.04.008.
6
The difficult transjugular intrahepatic portosystemic shunt: alternative techniques and "tips" to successful shunt creation.困难的经颈静脉肝内门体分流术：成功建立分流的替代技术及“技巧”
Semin Intervent Radiol. 2005 Dec;22(4):300-8. doi: 10.1055/s-2005-925556.
7
Transjugular intrahepatic portosystemic shunt in the treatment of portal vein thrombosis: a critical review of literature.经颈静脉肝内门体分流术治疗门静脉血栓形成：文献综述
Hepatol Int. 2012 Jun;6(3):576-90. doi: 10.1007/s12072-011-9324-5. Epub 2011 Dec 1.
8
Ultrasonographic guidance for portal vein access during transjugular intrahepatic portosystemic shunt (TIPS) placement.超声引导下经颈静脉肝内门体分流术（TIPS）置管过程中的门静脉入路。
Diagn Interv Imaging. 2019 Jul-Aug;100(7-8):445-453. doi: 10.1016/j.diii.2019.01.004. Epub 2019 Jan 31.
9
Transjugular portal vein recanalization with creation of intrahepatic portosystemic shunt (PVR-TIPS) in patients with chronic non-cirrhotic, non-malignant portal vein thrombosis.慢性非肝硬化、非恶性门静脉血栓形成患者经颈静脉门静脉再通并建立肝内门体分流术（PVR-TIPS）
Z Gastroenterol. 2018 Mar;56(3):221-237. doi: 10.1055/s-0043-121348. Epub 2017 Nov 7.
10
Three-dimensional C-arm CT-guided transjugular intrahepatic portosystemic shunt placement: Feasibility, technical success and procedural time.三维 C 臂 CT 引导下经颈静脉肝内门体分流术的置管：可行性、技术成功率和操作时间。
Eur Radiol. 2016 Dec;26(12):4277-4283. doi: 10.1007/s00330-016-4340-4. Epub 2016 Apr 5.

引用本文的文献

1
Examining the Branching Patterns of the Hepatis Portae Vena with Computed Tomography Images.利用计算机断层扫描图像研究肝门静脉分支模式。
J Clin Med. 2025 Jul 8;14(14):4835. doi: 10.3390/jcm14144835.
2
Unveiling Portal Vein Anatomy: Clinical Impact and Significance of Variants in Transjugular Intrahepatic Portosystemic Shunt Creation.揭示门静脉解剖结构：经颈静脉肝内门体分流术创建中变异的临床影响及意义
Semin Intervent Radiol. 2025 Jan 28;42(2):156-165. doi: 10.1055/s-0045-1802347. eCollection 2025 Apr.
3
Classification of variant portal vein anatomy based on three-dimensional CT: surgical implications.

本文引用的文献

1
Utility of Intravascular US-Guided Portal Vein Access during Transjugular Intrahepatic Portosystemic Shunt Creation: Retrospective Comparison with Conventional Technique in 109 Patients.经颈静脉肝内门体分流术创建过程中血管内超声引导门静脉穿刺的效用：109例患者与传统技术的回顾性比较
J Vasc Interv Radiol. 2016 Aug;27(8):1154-9. doi: 10.1016/j.jvir.2016.05.010. Epub 2016 Jun 28.
2
Intravascular Ultrasound in the Creation of Transhepatic Portosystemic Shunts Reduces Needle Passes, Radiation Dose, and Procedure Time: A Retrospective Study of a Single-Institution Experience.经肝门静脉分流术中血管内超声减少穿刺次数、辐射剂量及手术时间：单中心经验回顾性研究
J Vasc Interv Radiol. 2016 Aug;27(8):1148-53. doi: 10.1016/j.jvir.2016.01.137. Epub 2016 Apr 1.
3
基于三维 CT 的变异门静脉解剖分类：手术意义。
Surg Radiol Anat. 2024 Aug;46(8):1177-1184. doi: 10.1007/s00276-024-03427-5. Epub 2024 Jul 4.
4
Portal Vein Variations, Clinical Correlation, and Embryological Explanation: A Review Article.门静脉变异、临床关联及胚胎学解释：一篇综述文章
Cureus. 2023 Mar 20;15(3):e36400. doi: 10.7759/cureus.36400. eCollection 2023 Mar.
5
Duplicated inferior vena cava-trifurcated portal vein: a rare anatomical variation encountered during Whipple procedure.重复下腔静脉-门静脉三叉：胰十二指肠切除术过程中遇到的一种罕见解剖变异。
J Surg Case Rep. 2023 Jan 26;2023(1):rjad014. doi: 10.1093/jscr/rjad014. eCollection 2023 Jan.
6
Role of CT Imaging With Three-Dimensional Maximum Intensity Projection Reconstruction in the Evaluation of Portal Vein Variants at a Tertiary Care Hospital.CT成像结合三维最大密度投影重建在三级医院门静脉变异评估中的作用
Cureus. 2020 Nov 28;12(11):e11733. doi: 10.7759/cureus.11733.
Intravascular US-Guided Portal Vein Access: Improved Procedural Metrics during TIPS Creation.血管内超声引导下的门静脉穿刺：经颈静脉肝内门体分流术（TIPS）创建过程中改善的操作指标
J Vasc Interv Radiol. 2016 Aug;27(8):1140-7. doi: 10.1016/j.jvir.2015.12.002. Epub 2016 Feb 4.
4
Portosystemic Shunts: Stable Utilization and Improved Outcomes, Two Decades After the Transjugular Intrahepatic Portosystemic Shunt.门体分流术：经颈静脉肝内门体分流术后二十年，稳定应用与改善的结局
J Am Coll Radiol. 2015 Dec;12(12 Pt B):1427-33. doi: 10.1016/j.jacr.2015.06.037. Epub 2015 Sep 26.
5
Portal vein variations in 1000 patients: surgical and radiological importance.1000例患者的门静脉变异：手术及影像学意义
Br J Radiol. 2015;88(1055):20150326. doi: 10.1259/bjr.20150326. Epub 2015 Aug 18.
6
Segmental liver ischemia/infarction after elective transjugular intrahepatic portosystemic shunt creation: clinical outcomes in 10 patients.选择性经颈静脉肝内门体分流术建立后节段性肝缺血/梗死：10例患者的临床结果
J Vasc Interv Radiol. 2015 Jun;26(6):835-41. doi: 10.1016/j.jvir.2014.11.041. Epub 2015 Feb 7.
7
TIPS geometry influences patency.经颈静脉肝内门体分流术的几何形状影响通畅性。
Z Gastroenterol. 2015 Jan;53(1):28-32. doi: 10.1055/s-0034-1385430. Epub 2015 Jan 16.
8
TIPS: 25 years later.小贴士：25 年后。
J Hepatol. 2013 Nov;59(5):1081-93. doi: 10.1016/j.jhep.2013.06.014. Epub 2013 Jun 25.
9
Insight into congenital absence of the portal vein: is it rare?先天性门静脉缺如的深入探讨：它罕见吗？
World J Gastroenterol. 2008 Oct 21;14(39):5969-79. doi: 10.3748/wjg.14.5969.
10
Portal vein variations: clinical implications and frequencies in routine abdominal multidetector CT.门静脉变异：常规腹部多层螺旋CT的临床意义及发生率
Diagn Interv Radiol. 2007 Jun;13(2):75-80.