CT-guided transfemoral portocaval shunt creation

被引：12

作者：

Bloch, R

Fontaine, A

Borsa, J

Hoffer, E

Kowdley, K

机构：

[1] Univ Washington, Sch Med, Dept Radiol, Seattle, WA 98195 USA

[2] Univ Washington, Sch Med, Dept Med, Div Gastroenterol & Hepatol, Seattle, WA 98195 USA

来源：

CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY | 2001年 / 24卷 / 02期

关键词：

hypertension; portal; portal vein; stenosis or obstruction; shunts; portosystemic; portocaval;

D O I：

10.1007/s002700002529

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A patient with superior vena cava (SVC) occlusion presented with severe ascites and urgent transjugular intrahepatic portosystemic shunt (TIPS) was requested. The patient had a chronically occluded SVC. An alternative to classic TIPS was employed using CT guidance to traverse the left portal vein to the inferior vena cava with a small gauge needle. Fluoroscopic guidance was then used to snare a wire placed through the needle and then work from the femoral vein to create a portocaval shunt that passed through the caudate lobe. This procedure was a technical success and improved the patient's ascites.

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收藏

页码：106 / 110

页数：5

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