Application of 64-slice spiral CT on the measurement of puncture channel of simulated direct intrahepatic portacaval shunt

WANG Jian-Hua, ZHOU Ting-Yong, ZHANG Ben-Shi, CHENG Jia-Mao, LI Pan-Pan, LI Lin-Hong, DU Diao-Kang

Chinese Journal of Clinical Anatomy ›› 2011, Vol. 29 ›› Issue (3) : 304-307.

Chinese Journal of Clinical Anatomy ›› 2011, Vol. 29 ›› Issue (3) : 304-307.

Application of 64-slice spiral CT on the measurement of puncture channel of simulated direct intrahepatic portacaval shunt

  • WANG Jian-hua1, ZHOU Ting-yong2, ZHANG Ben-si1, CHENG Jia-mao1, LI Yan-yan3, LI Lin-hong2, DU ZHao-kang1
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Abstract

Objective To measure related parameters of the puncture channel of simulated direct intrahepatic portacaval shunt (DIPS) adopting 64-Slice spiral CT, and provide clinical guidance. Methods 39 healthy volunteers, and 16 cases with cirrhosis underwent the upper abdomen 64-MSCT scan. The puncture points about 1cm and 2cm under the left and right portal branches, and that connected to intermediate retrohepatic segment of inferior vena cava were measured and scored according to Child-Pugh grades. In order to offer clinical applicable information for DIPS, the smart tracking technology (Smart Prep) were used to scan and further process on the GE ADW4.2 workstations. Results There was no significant difference between healthy volunteers and cirrhosis patients for the internal diameters of the left and right branches of portal vein under Child-Pugh grade. The shortest distance appeared between the left branch of portal vein and inferior caval vein. Conclusions For obtaining puncture parameters, 64-MSCT is valuable. This study demonstrates the appropriate length and type of the stents.

Key words

64-Slice spiral computed tomography / Direct intrahepatic portacaval shunt(DIPS / Cirrhosis;hepatic portal vein /   / Retrohepatic inferior vena cava / Measurement

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WANG Jian-Hua, ZHOU Ting-Yong, ZHANG Ben-Shi, CHENG Jia-Mao, LI Pan-Pan, LI Lin-Hong, DU Diao-Kang. Application of 64-slice spiral CT on the measurement of puncture channel of simulated direct intrahepatic portacaval shunt[J]. Chinese Journal of Clinical Anatomy. 2011, 29(3): 304-307

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