Cope C
AJR Am J Roentgenol. 1980 Nov;135(5):989-93. doi: 10.2214/ajr.135.5.989.
Successful percutaneous balloon dilatations of four mesocaval shunts (one stenosis, three occlusions) and one acutely thrombosed portocaval shunt were performed in four patients with massive esophageal variceal bleeding. Shunt failure was acute (1-2 days) in two patients and delayed (1-2 years) in three. One patient died early in hepatic failure. Portocaval pressure gradients became normal in four patients and have been kept in the 11-16 cm H2O range by careful outpatient shunt pressure monitoring and, if indicated, redilatation at 6 months' interval. Transanastomotic coil occlusion of large esophageal varices was done in three patients. There has been no recurrent variceal bleeding in the four surviving patients over a period of 16 months.
对4例患有大量食管静脉曲张出血的患者成功实施了4例肠系膜上静脉-腔静脉分流术（1例狭窄，3例闭塞）和1例急性血栓形成的门静脉-腔静脉分流术的经皮球囊扩张术。分流失败在2例患者中为急性（1 - 2天），在3例患者中为延迟性（1 - 2年）。1例患者早期死于肝功能衰竭。4例患者的门静脉-腔静脉压力梯度恢复正常，并通过仔细的门诊分流压力监测，必要时每6个月进行再次扩张，使其保持在11 - 16 cm H₂O范围内。3例患者进行了经吻合口的大食管静脉曲张线圈栓塞术。4例存活患者在16个月的时间内未出现静脉曲张再出血。
