Arterialization of the portal vein in cirrhosis: the findings at wedge hepatic venography.
A new operation for the treatment of cirrhosis and portal hypertension has recently been described involving arterialization of the portal vein in combination with an end-to-side portacaval shunt. We present, for the first time, the appearances at wedge hepatic venography. No significant change is seen in the wedge hapatic pressure as a result of this technique, and the sinusoidal pattern is preserved. Filling of the portosplanchnic collaterals is not as frequent as after end-to-side shunts alone, and the appearances seem to reflect improved sinusoidal perfusion. The clinical results have been encouraging.
D000792:Angiography; D001166:Arteriovenous Shunt, Surgical; D006503:Hepatic Veins / Q000000981:diagnostic imaging; D006801:Humans; D006975:Hypertension, Portal / Q000601:surgery; D008104:Liver Cirrhosis, Alcoholic / Q000601:surgery; D011167:Portacaval Shunt, Surgical / Q000379:methods*; D011169:Portal Vein / Q000000981:diagnostic imaging*; D012501:Saphenous Vein / Q000000981:diagnostic imaging / Q000637:transplantation; D012552:Schistosomiasis / Q000601:surgery