Palmes D, Spiegel H U
Department of General Surgery-Surgical Research, Westfaelische Wilhelms-University Muenster, Germany.
J Invest Surg. 1998 Mar-Apr;11(2):147-51. doi: 10.3109/08941939809032194.
Blood samples taken directly from the hepatic veins are often required for evaluation of liver function or ischemia/reperfusion injury and for direct determination of metabolic products of the liver. In the rat, blood samples are usually obtained by direct puncture of the hepatic veins. Successful catheterization of these small vessels is only possible under direct vision because great dexterity is needed to persuade the catheter to enter the hepatic vein. In this report a procedure for hepatic vein catheterization under direct vision is described in the rat. After performing a median laparotomy, a flexible catheter (Buchbinder, 3.0 F/1 mm, as used in cardiology) with a bent end is inserted into the infrahepatic vena cava. Under direct vision through the thin walls of the inferior vena cava the bent end of the catheter is slowly pushed up until the tip slides into a hepatic vein, which opens into the inferior vena cava at a right angle. Selective catheterization of the desired hepatic vein is possible by rotating the catheter and changing the position of its tip. This is a reliable new technique of hepatic vein catheterization in rats, by which blood samples can be collected directly from the hepatic veins.
为评估肝功能或缺血/再灌注损伤以及直接测定肝脏的代谢产物,通常需要直接从肝静脉采集血样。在大鼠中,血样通常通过直接穿刺肝静脉获取。只有在直视下才能成功将导管插入这些小血管,因为需要很高的技巧才能使导管进入肝静脉。在本报告中,描述了一种在大鼠直视下进行肝静脉插管的方法。进行正中剖腹术后,将一根末端弯曲的柔性导管(心脏病学中使用的Buchbinder,3.0F/1mm)插入肝下腔静脉。通过下腔静脉薄壁直视下,将导管的弯曲末端缓慢向上推,直到尖端滑入一条以直角开口于下腔静脉的肝静脉。通过旋转导管并改变其尖端位置,可以对所需的肝静脉进行选择性插管。这是一种可靠的大鼠肝静脉插管新技术,通过该技术可以直接从肝静脉采集血样。