Preliminary experience with transluminal laser–induced intrahepatic portacaval shunts

Dolores F. Cikrit, J. Jeffrey Wadley, Michael J. Harl, Sherry A. Heller, Michael C. Dalsing

Research output: Contribution to journalArticle

Abstract

This study investigated the feasibility of performing an intrahepatic portacaval shunt (IHPCS) by means of transluminal laser angioplasty. In 10 anesthetized dogs, a catheter was introduced into a mesenteric vein and threaded into the portal vein (PV). Under fluoroscopy, a Ross needle was passed through the PV catheter, liver, and into the intrahepatic IVC. Following guide-wire exchange, a neodymium YAG laser hot-tip probe (power setting 8 W) was passed over the guide-wire to accomplish a transluminal IHPCS. In five animals, an IHPCS could not be accomplished. Initial and subsequent patency was confirmed by fluoroscopy. These early data suggest that transvenous laser-induced intrahepatic portacaval shunts may be feasible as a means of decompressing portal hypertension. Further research is necessary to investigate the long-term patency as well as this technique's ability to decompress the portal system.

Original languageEnglish (US)
Pages (from-to)211-218
Number of pages8
JournalLasers in Surgery and Medicine
Volume13
Issue number2
DOIs
StatePublished - 1993

Keywords

  • interventional radiologic procedure of the liver
  • laser angioplasty
  • portal hypertension
  • portosystemic shunt

ASJC Scopus subject areas

  • Surgery
  • Dermatology

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