Document Detail

Intraoperative Doppler color flow imaging combined with regulation of arterial inflow during surgery for intrahepatic arterioportal fistula.
MedLine Citation:
PMID:  10854526     Owner:  NLM     Status:  MEDLINE    
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.
K Inoue; M Makuuchi; T Takayama; G Torzilli; Y Sugawara; Y Bandai; K Shimoji
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2000-02-23
Journal Detail:
Title:  Surgical endoscopy     Volume:  14     ISSN:  1432-2218     ISO Abbreviation:  Surg Endosc     Publication Date:  2000 Apr 
Date Detail:
Created Date:  2000-07-13     Completed Date:  2000-07-13     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8806653     Medline TA:  Surg Endosc     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  373     Citation Subset:  IM    
Hepatobiliary Pancreatic Surgery Division, Artificial Organ and Transplantation Division, Department of Surgery, Graduate School of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.
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MeSH Terms
Arteriovenous Fistula / complications,  diagnosis,  physiopathology*,  surgery*
Blood Flow Velocity
Hepatic Artery / abnormalities*,  physiopathology,  radiography,  ultrasonography
Intraoperative Care
Laser-Doppler Flowmetry
Liver Circulation / physiology
Liver Failure / diagnosis,  etiology,  physiopathology*
Portal Vein / abnormalities*,  physiopathology,  radiography,  ultrasonography
Tomography, X-Ray Computed
Ultrasonography, Doppler, Color*

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