Abstract
More than five years of clinical and animal experience with the use of a transjugular approach to the liver, biliary system, and portal circulation is reviewed. It has been of clinical value in connection with hepatic manometry and venography, liver biopsy, and cholangiography. Satisfactory hepatic manometry and venography were achieved by the transjugular approach in all 47 cases where attempted; diagnostic liver specimens were obtained in 71 of 83 patients (86 percent); and cholangiography was successful in 48 of 52 patients with enlarged intrahepatic ducts (92 percent). No complications occurred with these studies. In animals, transjugular catheterization was used as a means for portal, mesenteric, and pancreatic venography. These procedures are ready for diagnostic clinical use. Therapeutic techniques explored in animals include intravascular tamponade of gastric coronary vein and the nonsurgical creation of intrahepatic portocaval shunts, both of promise in the future management of massive gastrointestinal bleeding from varices.
| Original language | English (US) |
|---|---|
| Title of host publication | AMER.J.ROENTGENOL. |
| Pages | 602-608 |
| Number of pages | 7 |
| Volume | 125 |
| Edition | 3 |
| State | Published - 1975 |
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ASJC Scopus subject areas
- Medicine(all)
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Transjugular approach to the liver, biliary system, and portal circulation. / Rosch, Josef; Antonovic, R.; Dotter, C. T.
AMER.J.ROENTGENOL.. Vol. 125 3. ed. 1975. p. 602-608.Research output: Chapter in Book/Report/Conference proceeding › Chapter
}
TY - CHAP
T1 - Transjugular approach to the liver, biliary system, and portal circulation
AU - Rosch, Josef
AU - Antonovic, R.
AU - Dotter, C. T.
PY - 1975
Y1 - 1975
N2 - More than five years of clinical and animal experience with the use of a transjugular approach to the liver, biliary system, and portal circulation is reviewed. It has been of clinical value in connection with hepatic manometry and venography, liver biopsy, and cholangiography. Satisfactory hepatic manometry and venography were achieved by the transjugular approach in all 47 cases where attempted; diagnostic liver specimens were obtained in 71 of 83 patients (86 percent); and cholangiography was successful in 48 of 52 patients with enlarged intrahepatic ducts (92 percent). No complications occurred with these studies. In animals, transjugular catheterization was used as a means for portal, mesenteric, and pancreatic venography. These procedures are ready for diagnostic clinical use. Therapeutic techniques explored in animals include intravascular tamponade of gastric coronary vein and the nonsurgical creation of intrahepatic portocaval shunts, both of promise in the future management of massive gastrointestinal bleeding from varices.
AB - More than five years of clinical and animal experience with the use of a transjugular approach to the liver, biliary system, and portal circulation is reviewed. It has been of clinical value in connection with hepatic manometry and venography, liver biopsy, and cholangiography. Satisfactory hepatic manometry and venography were achieved by the transjugular approach in all 47 cases where attempted; diagnostic liver specimens were obtained in 71 of 83 patients (86 percent); and cholangiography was successful in 48 of 52 patients with enlarged intrahepatic ducts (92 percent). No complications occurred with these studies. In animals, transjugular catheterization was used as a means for portal, mesenteric, and pancreatic venography. These procedures are ready for diagnostic clinical use. Therapeutic techniques explored in animals include intravascular tamponade of gastric coronary vein and the nonsurgical creation of intrahepatic portocaval shunts, both of promise in the future management of massive gastrointestinal bleeding from varices.
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UR - http://www.scopus.com/inward/citedby.url?scp=0016790815&partnerID=8YFLogxK
M3 - Chapter
VL - 125
SP - 602
EP - 608
BT - AMER.J.ROENTGENOL.
ER -