Experimental intrahepatic portacaval anastomosis: Use of expandable Gianturco stents

J. Rösch, B. T. Uchida, J. S. Putnam, R. W. Buschman, R. D. Law, A. L. Hershey

Research output: Contribution to journalArticle

73 Scopus citations

Abstract

Original Gianturco expandable stents and their modifications were used to create an experimental intrahepatic portacaval anastomosis (EIPCA) in 30 young domestic swine without portal hypertension. The study focused on the design of a suitable stent, the technique of its application, and the evaluation of short-term patency of the EIPCA. A stent with a 2.5-cm-long body and wire skirts on both ends was most suitable for EIPCA creation. Well-positioned stents shunted most of the portal blood in the inferior vena cava circulation and remained patent for 4-6 weeks. Ingrowth of liver parenchyma and abundant proliferation of the intima and connective tissue inside the stent lumen in these rapidly growing animals gradually decreased EIPCA patency, and thrombus formation with diminished blood flow closed them completely.

Original languageEnglish (US)
Pages (from-to)481-485
Number of pages5
JournalRADIOLOGY
Volume162
Issue number2
DOIs
StatePublished - Jan 1 1987

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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