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Production of an intrahepatic portocaval fistula in the dog with cirrhosis of the liver and portal hypertension

Abstract

Non-Operative intrahepatic shunts between the left branch of the portal vein and hepatic vein were produced in 14 dogs with periportal cirrhosis and portal hypertension. Dilatation of the intrahepatic fistula was achieved with a Gruentzig catheter with a balloon diameter of 12 m. The catheter was introduced into the left branch of the portal vein passing through the right jugular vein, vena cava and hepatic vein by means of a co-axial system, using a stiff Teflon catheter with an external diameter of 6 mm. Repeated maximal inflation of the balloon, which was placed across the portal vein and inferior vena cava, produced an intra-hepatic portocaval shunt in all dogs. This resulted in immediate abolition of previously stable portal hypertension. The only significant complication was shunt occlusion within a week. In such cases the shunt was reopened by the same technique. The procedure had to be repeated at weekly intervals up to five times before a permanent intrahepatic shunt was established.
Publication Date:
Sep 01, 1984
Product Type:
Journal Article
Reference Number:
FRG-84-15352; EDB-85-074538
Resource Relation:
Journal Name: RoeFo, Fortschr. Geb. Roentgenstr. Nuklearmed.; (Germany, Federal Republic of); Journal Volume: 141:3; Other Information: With 5 figs
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; HYPERTENSION; THERAPY; LIVER CIRRHOSIS; PORTAL SYSTEM; BIOMEDICAL RADIOGRAPHY; BLOOD FLOW; CONTRAST MEDIA; DOGS; FISTULAE; IMAGES; PROBES; ANIMALS; BLOOD VESSELS; BODY; CARDIOVASCULAR DISEASES; CARDIOVASCULAR SYSTEM; DIAGNOSTIC TECHNIQUES; DIGESTIVE SYSTEM DISEASES; DISEASES; MAMMALS; MEDICINE; NUCLEAR MEDICINE; ORGANS; PATHOLOGICAL CHANGES; RADIOLOGY; SYMPTOMS; VASCULAR DISEASES; VEINS; VERTEBRATES; 550602* - Medicine- External Radiation in Diagnostics- (1980-)
OSTI ID:
5980029
Country of Origin:
Germany
Language:
German
Other Identifying Numbers:
Journal ID: CODEN: RFGND
Submitting Site:
HEDB
Size:
Pages: 327-332
Announcement Date:
Jan 01, 1985

Citation Formats

Burgener, F A, and Gutierrez, O H. Production of an intrahepatic portocaval fistula in the dog with cirrhosis of the liver and portal hypertension. Germany: N. p., 1984. Web. doi:10.1055/s-2008-1053141.
Burgener, F A, & Gutierrez, O H. Production of an intrahepatic portocaval fistula in the dog with cirrhosis of the liver and portal hypertension. Germany. doi:10.1055/s-2008-1053141.
Burgener, F A, and Gutierrez, O H. 1984. "Production of an intrahepatic portocaval fistula in the dog with cirrhosis of the liver and portal hypertension." Germany. doi:10.1055/s-2008-1053141. https://www.osti.gov/servlets/purl/10.1055/s-2008-1053141.
@misc{etde_5980029,
title = {Production of an intrahepatic portocaval fistula in the dog with cirrhosis of the liver and portal hypertension}
author = {Burgener, F A, and Gutierrez, O H}
abstractNote = {Non-Operative intrahepatic shunts between the left branch of the portal vein and hepatic vein were produced in 14 dogs with periportal cirrhosis and portal hypertension. Dilatation of the intrahepatic fistula was achieved with a Gruentzig catheter with a balloon diameter of 12 m. The catheter was introduced into the left branch of the portal vein passing through the right jugular vein, vena cava and hepatic vein by means of a co-axial system, using a stiff Teflon catheter with an external diameter of 6 mm. Repeated maximal inflation of the balloon, which was placed across the portal vein and inferior vena cava, produced an intra-hepatic portocaval shunt in all dogs. This resulted in immediate abolition of previously stable portal hypertension. The only significant complication was shunt occlusion within a week. In such cases the shunt was reopened by the same technique. The procedure had to be repeated at weekly intervals up to five times before a permanent intrahepatic shunt was established.}
doi = {10.1055/s-2008-1053141}
journal = {RoeFo, Fortschr. Geb. Roentgenstr. Nuklearmed.; (Germany, Federal Republic of)}
volume = {141:3}
journal type = {AC}
place = {Germany}
year = {1984}
month = {Sep}
}