Percutaneous transhepatic portography

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  • MUSHA Hirotaka
    First Department of Medicine, Chiba University School of Medicine
  • NAKAJIMA Yukio
    First Department of Medicine, Chiba University School of Medicine
  • SUZUKI Koji
    First Department of Medicine, Chiba University School of Medicine
  • TAKAYASU Kenichi
    First Department of Medicine, Chiba University School of Medicine
  • OHKUBO Hideki
    First Department of Medicine, Chiba University School of Medicine
  • KOHEN Hirohumi
    First Department of Medicine, Chiba University School of Medicine
  • KOHNO Kunihiko
    First Department of Medicine, Chiba University School of Medicine
  • SUZUKI Naondo
    First Department of Medicine, Chiba University School of Medicine
  • KOTODA Kazuro
    First Department of Medicine, Chiba University School of Medicine
  • OKUDA Kunio
    First Department of Medicine, Chiba University School of Medicine

Bibliographic Information

Other Title
  • 経皮経肝的門脈造影法について
  • ケイヒ ケイカンテキ モンミャク ゾウエイホウ ニ ツイテ 2 2シュ ノ コ
  • II. Measurement of intra- and extra-hepatic shunts using the procedure for PTP and MAA labelled with <SUP>131</SUP>I and<SUP> 99m</SUP>Tc.
  • 2種の異なる核種で標識したMAAを本法により注入して行う肝内外短絡率測定法について

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Description

Using the technique of percutaneous transhepatic portal vein catheterization, separate measurement of intra- and extrahepatic shunts was possible. It involves injection of 99mTc-macroaggregated albumin (MAA) at the beginning of splenic vein and of 131I-MAA in the portal trunk, followed by scanning of liver and lungs, and measurement of count of each nuclide over the set areas of these organs. Measurement of intrahepatic shunt index was carried out in 18 cases with liver disease. Intra- and extra-hepatic shunt indeces were measured in 9 out of 18 cases. Intrahepatic shunt indeces were 1.6 to 78.4% in liver cirrhosis (14cases), 4.6% in idiopathic portal hypertension (1 case), 1.0% in intrahepatic cholestasis (1case) and 4.2 to 5.4% in hepatic steatosis (2cases). Extrahepatic shunt indeces were O to 49.9% in liver cirrhosis and 1.5% in hepatic steatosis. The intrahepatic shunt indeces seemed to correlate very closely with ICG retention, and with the presence of jaundice, indicating the value of shunt measurement in assessing liver function and prognosis. <BR>Extrahepatic shunt indeces seem to correlate with the size of collaterals opacified by portography and tend to be high in the presence of esophageal varices.

Journal

  • Kanzo

    Kanzo 18 (5), 353-364, 1977

    The Japan Society of Hepatology

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