Bützow G H, Novak D
Gastrointest Radiol. 1977 Oct 25;2(2):153-61. doi: 10.1007/BF02256490.
Techniques of hepatic vein catheterization, hepatic venous pressure measurement, and occlusion phlebography using a balloon catheter are described. Hepatic venous pressure measurements (n=95) and hepatic occlusion phlebography were combined in 32 cases. In patients with liver cirrhosis (n=63) a significant elevation of hepatic venous pressure gradients was found. A decrease of the pressure gradient was seen after portacaval and splenorenal shunt operations. Hepatic occlusion phlebography showed alterations of hepatic veins only in patients with cirrhosis. A rough correlation between pressure gradients and the extent of changes in the liver veins was found. Hepatic occlusion phlebography, in patients who had undergone shunt procedure, demonstrated various collaterals. Combined hepatic vein pressure measurements and hepatic occlusion phlebography using a balloon catheter are proposed as a very suitable method for the evaluation of chronic liver disease and portal hypertension.
本文描述了使用球囊导管进行肝静脉插管、肝静脉压力测量和闭塞性静脉造影的技术。95例进行了肝静脉压力测量，其中32例同时进行了肝静脉闭塞性静脉造影。在肝硬化患者（n = 63）中，发现肝静脉压力梯度显著升高。门腔分流术和脾肾分流术后压力梯度降低。肝静脉闭塞性静脉造影仅在肝硬化患者中显示肝静脉改变。发现压力梯度与肝静脉变化程度之间存在大致相关性。在接受分流手术的患者中，肝静脉闭塞性静脉造影显示出各种侧支循环。建议将使用球囊导管进行的肝静脉压力测量和肝静脉闭塞性静脉造影相结合，作为评估慢性肝病和门静脉高压的一种非常合适的方法。
