Herlinger H
Clin Radiol. 1978 May;29(3):255-75. doi: 10.1016/s0009-9260(78)80062-2.
Arterioportography has superseded splenoportography which has given inadequate and at times misleading information. Eighty-two arterioportograms have been done in 78 patients with portal hypertension. The arterial phase may disclose malignancy, pancreatitis, diminished liver perfusion and the venous phase flow reduction, occlusion and the presence of thrombus. Arterioportography should provide evidence of suitability for specific shunts and features relevant to the performance of of a mesocaval or distal spleno-renal shunt are given in detail. An attempt is made to relate arterioportography and transhepatic portal catherisation into a combined function in the management of patients with portal hypertension.
动脉门静脉造影已取代脾门静脉造影，后者提供的信息不充分，有时甚至会产生误导。对78例门静脉高压患者进行了82次动脉门静脉造影。动脉期可能显示恶性肿瘤、胰腺炎、肝脏灌注减少，静脉期则显示血流减少、阻塞及血栓形成。动脉门静脉造影应能提供适合特定分流术的证据，并详细给出与肠系膜上腔静脉或远端脾肾分流术操作相关的特征。本文试图将动脉门静脉造影和经肝门静脉插管结合起来，用于门静脉高压患者的综合治疗。
