Nagino M, Nimura Y, Hayakawa N
First Department of Surgery, Nagoya University School of Medicine, Japan.
World J Surg. 1993 Jul-Aug;17(4):520-4. doi: 10.1007/BF01655112.
Two 5.5 French triple-lumen balloon catheters were devised to improve percutaneous transhepatic portal embolization (PTPE) as preoperative management of patients undergoing extensive liver resection. Using these catheters, an ipsilateral approach for embolization is achieved through a portal branch of the liver using fibrin glue mixed with Lipiodol as the embolic material. This approach proved safer and more reliable than the traditional contralateral approach: (1) The portal branch to be resected is punctured; (2) the left and right anterior portal embolization is conducted simultaneously through a single portal puncture; and (3) the catheter sheath can consequentially be removed soon after PTPE without requiring further treatment.
设计了两根5.5法式三腔球囊导管，以改进经皮经肝门静脉栓塞术（PTPE），作为广泛肝切除术患者的术前管理方法。使用这些导管，通过肝门静脉分支，采用与碘油混合的纤维蛋白胶作为栓塞材料，实现同侧栓塞方法。该方法被证明比传统的对侧方法更安全、更可靠：（1）穿刺待切除的门静脉分支；（2）通过单次门静脉穿刺同时进行左、右前门静脉栓塞；（3）因此，PTPE后可很快移除导管鞘，无需进一步治疗。
