Chezmar J L, Bernardino M E
AJR Am J Roentgenol. 1987 Oct;149(4):707-10. doi: 10.2214/ajr.149.4.707.
The construction of a mesoatrial shunt for portal decompression is one of the surgical procedures used for the treatment of Budd-Chiari syndrome. The results of the imaging procedures performed in eight patients treated in this fashion were retrospectively analyzed. All of the patients had angiography; seven had MR imaging and two had Doppler sonography. The demonstration of shunt patency, stenosis, or occlusion by MR and Doppler sonography was confirmed by angiography in all cases. We conclude that MR imaging may serve as an accurate screening method to assess shunt patency and to determine which patients require angiography to obtain hemodynamic data. Doppler sonography may also be a useful screening method, but additional data must be obtained to assess its role in evaluation of shunt patency.
构建用于门脉减压的中房分流术是治疗布加综合征的外科手术之一。对采用这种方式治疗的8例患者所进行的成像检查结果进行了回顾性分析。所有患者均接受了血管造影；7例接受了磁共振成像（MR成像），2例接受了多普勒超声检查。在所有病例中，血管造影均证实了通过MR成像和多普勒超声检查对分流术通畅、狭窄或闭塞情况的显示。我们得出结论，MR成像可作为一种准确的筛查方法，用于评估分流术通畅情况以及确定哪些患者需要进行血管造影以获取血流动力学数据。多普勒超声检查也可能是一种有用的筛查方法，但必须获取更多数据以评估其在评估分流术通畅情况中的作用。
