| Intraoperative use of subtraction angiography and an ultrasonic aspirator to improve identification and isolation of an intrahepatic portosystemic shunt in a dog. | |
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MedLine Citation:
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PMID: 8617647 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Mesenteric portography, using a C-arm fluoroscope equipped with digital subtraction capability, was performed intraoperatively to locate a single, intrahepatic portocaval shunt. An ultrasonic aspirator was used to isolate the shunt, which was ligated completely. Typical portal venous arborization was seen on postligation intraoperative mesenteric portography. Subtraction angiography used intraoperatively and dissection with the ultrasonic aspirator improve the surgeon's ability to localize and isolate intrahepatic portocaval shunts and can reduce surgical time. Film development and patient repositioning and transport, before and after shunt ligation, are not necessary when mesenteric portography is performed intraoperatively, using a C-arm fluoroscope and digital subtraction. Dissection around intrahepatic portocaval shunts is facilitated by the ultrasonic aspirator, which selectively fractures and suctions tissue from around the shunt. Hemorrhage is decreased, because hepatic ductules and small blood vessels are left intact. |
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Authors:
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K S Tobias; D Barbee; G E Pluhar |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of the American Veterinary Medical Association Volume: 208 ISSN: 0003-1488 ISO Abbreviation: J. Am. Vet. Med. Assoc. Publication Date: 1996 Mar |
Date Detail:
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Created Date: 1996-06-13 Completed Date: 1996-06-13 Revised Date: 2003-11-14 |
Medline Journal Info:
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Nlm Unique ID: 7503067 Medline TA: J Am Vet Med Assoc Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 888-90 Citation Subset: IM |
Affiliation:
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Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Washington State University, Pullman 99164-6610, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Angiography, Digital Subtraction
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veterinary* Animals Dogs / abnormalities*, surgery Intraoperative Care / veterinary* Ligation / veterinary Liver / blood supply Male Portal System / abnormalities*, radiography, surgery Portal Vein / abnormalities, radiography, surgery Portography / veterinary Suction / methods, veterinary Ultrasonics Vena Cava, Inferior / abnormalities, radiography, surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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