[Production of nonsurgical intrahepatic portacaval shunt in portal hypertension using a Gruntzig balloon dilatation catheter].
Nonsurgical intrahepatic shunts between the left portal and left hepatic vein were successfully produced in 14 dogs with portal hypertension. Dilatation of the intrahepatic tract was achieved by means of a Grüntzig angioplasty catheter with an inflated balloon diameter of 12 mm. This catheter was coaxially introduced into the portal vein, through the 18 French catheter of a Dotter's coaxial catheter system placed initially into the portal system via transjugular approach. The intrahepatic portocaval shunts created in this fashion, proved to be effective in immediate reduction of increased portal pressure and no significant complications were encountered.
Burgener
F A
FA
Gutierrez
O H
OH
D000800:Angioplasty, Balloon / Q000295:instrumentation*; D000818:Animals; D002404:Catheterization / Q000295:instrumentation*; D004285:Dogs; D006503:Hepatic Veins / Q000000981:diagnostic imaging; D006975:Hypertension, Portal / Q000503:physiopathology / Q000628:therapy*; D007601:Jugular Veins; D008099:Liver; D008102:Liver Circulation; D011169:Portal Vein / Q000000981:diagnostic imaging; D011859:Radiography; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging
Production de dérivations porto-caves intra-hépatiques non chirurgicales dans l'hypertension portale au moyen d'un cathéter de dilatation à ballonnet de Grüntzig.