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门静脉动脉化用于控制静脉曲张出血。临床及血管造影随访

Arterialization of the portal vein for control of variceal bleeding. Clinical and angiographic follow-up.

作者信息

Hammers L W, Glanz S, Gordon D H, Sclafani S J, Adamsons R J

出版信息

Radiology. 1983 Dec;149(3):649-53. doi: 10.1148/radiology.149.3.6606187.

DOI:10.1148/radiology.149.3.6606187
PMID:6606187
Abstract

Angiographic and clinical findings in 33 patients who underwent arterialization of the portal vein and end-to-side portacaval shunt over a seven-year period are reviewed. Both encephalopathy and postoperative bleeding were less frequent than in previous series. Major angiographic findings included stenosis or closure of the gastroepiploic artery-portal vein shunt, narrowing of the intrahepatic portal vein, aneurysm formation in the saphenous vein graft, shunt narrowing or thrombosis, and development of portosystemic collaterals. The authors conclude that as long as the shunt remains patent, a more physiological state is maintained.

摘要

回顾了33例在7年期间接受门静脉动脉化和端侧门腔分流术患者的血管造影和临床结果。脑病和术后出血的发生率均低于以往系列报道。主要血管造影结果包括胃网膜动脉-门静脉分流狭窄或闭塞、肝内门静脉狭窄、大隐静脉移植物形成动脉瘤、分流狭窄或血栓形成以及门体侧支循环的发展。作者得出结论,只要分流保持通畅,就能维持更接近生理的状态。

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Arterialization of the portal vein for control of variceal bleeding. Clinical and angiographic follow-up.门静脉动脉化用于控制静脉曲张出血。临床及血管造影随访
Radiology. 1983 Dec;149(3):649-53. doi: 10.1148/radiology.149.3.6606187.
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