Maeda T, Mori H, Aikawa H, Komatsu E, Kagawa K
Department of Radiology, Shinbeppu-Hospital, Oita, Japan.
Cardiovasc Intervent Radiol. 1993 Jul-Aug;16(4):245-7. doi: 10.1007/BF02602970.
A 57-year-old woman presented with hepatic encephalopathy, cirrhosis, and a dual-channel portosystemic venous shunt (PSVS). The shunt was treated successfully by embolization with steel coils via retrograde systemic venous access. Encephalopathy resolved. This new approach is considered safer than the previously reported percutaneous transhepatic route or the mesenteric venous route, requiring a mini-laparotomy.
一名57岁女性因肝性脑病、肝硬化和双通道门静脉系统分流（PSVS）就诊。通过经逆行体静脉途径用钢圈栓塞成功治疗了该分流。脑病得到缓解。这种新方法被认为比先前报道的经皮肝穿刺途径或肠系膜静脉途径更安全，后者需要进行小切口剖腹手术。
