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A technique for catheterizing the portal vein transhepatically, based on our method for percutaneous transhepatic cholangiography, is described. Using this technique, quantitation of the intrahepatic shunt and extrahepatic shunt from the splenoportal axis is possible. It involves injection of 99mTc-macroaggregated albumin into the splenic vein at the splenic hilum and 131I-macroaggregated albumin into the portal trunk, followed by differential counting over predetermined areas of the liver and lungs. Catheterization was successful in 20 of 30 patients in whom it was attempted. The intrahepatic shunt indices varied from 1.0 to 78.4% and the extrahepatic shunt indices ranged from 0 to 49.9%. These values appeared to correlate closely with the size of collaterals opacified by portography.
K Okuda, and
K Suzuki, and
H Musha, and
N Arimuzu
August 1984,
World journal of surgery,
K Okuda, and
K Suzuki, and
H Musha, and
N Arimuzu
November 1984,
Zhonghua yi xue za zhi,
K Okuda, and
K Suzuki, and
H Musha, and
N Arimuzu
September 1988,
Japanese journal of clinical oncology,
K Okuda, and
K Suzuki, and
H Musha, and
N Arimuzu
January 1980,
Acta radiologica: diagnosis,
K Okuda, and
K Suzuki, and
H Musha, and
N Arimuzu
July 1984,
RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin,
K Okuda, and
K Suzuki, and
H Musha, and
N Arimuzu
January 1989,
Radiologia diagnostica,
K Okuda, and
K Suzuki, and
H Musha, and
N Arimuzu
January 1999,
Cardiovascular and interventional radiology,
K Okuda, and
K Suzuki, and
H Musha, and
N Arimuzu
April 1982,
Acta medica Okayama,
K Okuda, and
K Suzuki, and
H Musha, and
N Arimuzu
January 1979,
Scandinavian journal of gastroenterology. Supplement,
K Okuda, and
K Suzuki, and
H Musha, and
N Arimuzu
April 1998,
Nihon Geka Gakkai zasshi,
