Intraoperative Doppler color flow imaging combined with regulation of arterial inflow during surgery for intrahepatic arterioportal fistula.

Inoue K; Makuuchi M; Takayama T; Torzilli G; Sugawara Y; Bandai Y; Shimoji K

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Intraoperative Doppler color flow imaging combined with regulation of arterial inflow during surgery for intrahepatic arterioportal fistula.

机译：术中多普勒彩色血流显像结合肝动脉内门静脉瘘手术中动脉流入的调节。

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摘要

Large fistulas associated with impaired liver function should be treated by direct obliteration or removal of the shunt orifice. In a large shunt with the portal branch lying on the arterial branch, identification of the exact site of the fistula can be a challenge. We report a case of impaired liver function due to a large intrahepatic arterioportal fistula. The site of the shunt orifice could not be located accurately by preoperative imaging. However, intraoperative color Doppler ultrasonography and the simple regulation of arterial inflow clearly demonstrated the shunt orifice. This original technique has allowed the precise definition of the problem and has optimized the surgical treatment for this critical condition. Consequently, it should be considered a new option for the definition and management of large intrahepatic arterioportal fistulas.

机译：与肝功能受损相关的大瘘管应通过直接闭塞或取下分流口来治疗。在门静脉分支位于动脉分支上的大型分流器中，确定瘘管确切部位可能是一个挑战。我们报告了由于肝内动静脉瘘大而导致肝功能受损的情况。术前成像无法准确定位分流口的位置。然而，术中彩色多普勒超声检查和动脉血流的简单调节清楚地显示了分流口。这项原始技术可以对问题进行精确定义，并针对这种严重状况优化了手术治疗。因此，对于大型肝内动脉门静脉瘘的定义和治疗，应该考虑将其作为一种新的选择。

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《Surgical Endoscopy》 |2000年第4期|共1页
作者
Inoue K; Makuuchi M; Takayama T; Torzilli G; Sugawara Y; Bandai Y; Shimoji K;
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正文语种 eng
中图分类外科学;
关键词
Arteriovenous Fistula; Hepatic Artery; Liver Failure; Portal Vein; Ultrasonography; Doppler; Color; 动静脉瘘; 肝动脉; 肝功能衰竭; 门静脉; 超声检查; 多普勒; 彩色;

机译：Arteriovenous Fistula;Hepatic Artery;Liver Failure;Portal Vein;Ultrasonography;Doppler;Color;动静脉瘘;肝动脉;肝功能衰竭;门静脉;超声检查;多普勒;彩色;

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1. Intraoperative Doppler color flow imaging combined with regulation of arterial inflow during surgery for intrahepatic arterioportal fistula. [J] . Inoue K, Makuuchi M, Takayama T, Surgical Endoscopy . 2000,第4期

机译：术中多普勒彩色血流显像结合肝动脉内门静脉瘘手术中动脉流入的调节。
2. Automated quantification of mitral inflow and aortic outflow stroke volumes by three-dimensional real-time volume color-flow doppler transthoracic echocardiography: Comparison with pulsed-wave doppler and cardiac magnetic resonance imaging [J] . Journal of the American Society of Echocardiography: official publication of the American Society of Echocardiography . 2012,第1期

机译：通过三维实时体积彩色流多普勒经胸超声心动图自动定量二尖瓣流入和主动脉流出搏动量：与脉冲波多普勒和心脏磁共振成像的比较
3. Evaluation of coronary bypass flow with color-Doppler and magnetic resonance imaging techniques: comparison with intraoperative flow measurements. [J] . Walpoth BH, Muller MF, Genyk I, European journal of cardio-thoracic surgery: Official journal of the European Association for Cardio-thoracic Surgery . 1999,第6期

机译：用彩色多普勒和磁共振成像技术评估冠状动脉旁路血流：与术中血流测量的比较。
4. Quantitative Analysis Of Doppler Color Flow Images In A Model Of Arterial Stenosis [C] . Vattyam, H.M., Rittgers, Engineering in Medicine and Biology Society, 1990., Proceedings of the Twelfth Annual International Conference of the IEEE . 1990

机译：动脉狭窄模型中多普勒彩色血流图像的定量分析
5. Computer simulation studies of ultrasound Doppler color flow images. [D] . Kerr, Andrew T. 1992

机译：超声多普勒彩色血流图像的计算机仿真研究。
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Intraoperative Doppler color flow imaging combined with regulation of arterial inflow during surgery for intrahepatic arterioportal fistula.

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