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Creative intrahepatic portosystemic shunt by percutaneous transhepatic approach
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF RADIOLOGY
- Issue:
- 1
- DOI:
- 10.3760/cma.j.issn.1005-1201.2011.01.021
- Key Word:
- No keyword available
Abstract： @@ 自1988年Rossle等首次将经颈内静脉肝内门体分流术(TIPS)引入临床治疗以来,TIPS作为治疗肝硬化合并门静脉高压症及其他并发症的重要方法已在临床广泛应用,并且疗效确切[1-2].然而,在一些特殊情况下,如解剖变异、中心静脉或肝静脉狭窄或闭塞等,常规TIPS难以甚至无法完成,对此类患者建立肝内门体分流道需要对常规TIPS术式进行改良.笔者经皮经肝途径成功完成2例特殊患者的改良式肝内门体分流术,达到了预期的效果,介绍如下.
- [1]吴性江,曹建民,韩建明,等.经颈内静脉肝内门体分流术治疗肝静脉广泛闭塞型布加综合征[J].2006,(15).
- [2]褚建国,孙晓丽,徐晓明,等.经肝段下腔静脉建立门体分流道的临床效果[J].2004,(12).
- [3]单鸿,关守海,姜在波,等.改良式经颈静脉肝内门腔静脉分流术治疗肝静脉闭塞型Buddi-Chiari 综合征[J].2002,(9).
- [4]姜在波,单鸿,关守海,等.门静脉癌栓合并门脉高压症的TIPS姑息治疗[J].2002,(12).
- [5]Hoppe H,Petersen BD,Wang SL.Intravascular US-guided direct intrahepatic portocaval shunt with an expanded polytetrafluoroethylene-covered stent-graft.[J].2008,246(1).
- [6]Surti VC,Kantsevoy SV,Dray X,etc.A new alternative for a transjugular intrahepatic portosystemic shunt: EUS-guided creation of an intrahepatic portosystemic shunt (with video).[J].2009,69(4).
- [7]Z J, Haskal,R, Duszak,E E, Furth.Transjugular intrahepatic transcaval portosystemic shunt: the gun-sight approach.[J].1900,7(1).
- [8]Procaccini NJ,Northup,Al Osaimi AM.Endoscopic cyanoacrylate versus transjugular intrahepatic portosystemic shunt for gastric variceal bleeding: a single-center U.S. analysis.[J].2009,70(5).
- [9]Magsamen KE,Frisoli JK,Sze DY.Successful transfemoral creation of an intrahepatic portosystemic shunt with use of the Viatorr device.[J].2006,17(3).