Schulz K S, Martin R A, Henderson R A
Department of Small Animal Clinical Sciences, Virginia/Maryland Regional College of Veterinary Medicine, Blacksburg, Virginia.
Vet Surg. 1993 Sep-Oct;22(5):363-9. doi: 10.1111/j.1532-950x.1993.tb00413.x.
The portal vasculature can be accessed by using a through-the-needle catheter system to pass a catheter through the splenic parenchyma and into a major splenic vein at the hilus. The authors have termed this technique transsplenic portal catheterization (TPC). Transsplenic portal catheterization is indicated for portal angiography, portal pressure measurement, and chronic portal blood sampling. Clinical applications of this technique include use in diagnosis and surgical management of portosystemic shunts and differentiation of prehepatic, hepatic, and posthepatic hypertension. This report describes the technique of transsplenic portal catheterization. Clinical use of this technique in two cases of portosystemic shunts are included.
可通过使用经针导管系统，将导管穿过脾实质并进入脾门处的脾主要静脉来进入门静脉系统。作者将此技术称为经脾门静脉插管术（TPC）。经脾门静脉插管术适用于门静脉血管造影、门静脉压力测量及慢性门静脉采血。该技术的临床应用包括用于门体分流的诊断和手术管理以及肝前性、肝性和肝后性高血压的鉴别。本报告描述了经脾门静脉插管术的技术。还包括该技术在两例门体分流病例中的临床应用。
