FIELD: medicine.
SUBSTANCE: mid-laparotomy is performed. The trunk of the initial department of v. mesenterica superior is isolated with introducer 10 Fr installation in its lumen. The portal vein is catheterized through the indicated introducer under radiological control. Then, the occluded portion of the portal vein is recanalized on the catheter using hydrophilic and super-rigid conductors. Angioplasty of the occluded portion of the portal vein is performed by predilation using peripheral dilution cylinders with a diameter of 5 to 8 mm and a length of 4 to 8 cm. Stenting of the sub-hepatic portion of the portal vein at the site of its previous occlusion is performed using a stent 9-10 mm in diameter and 6 to 8 cm long.
EFFECT: method allows to exclude liver injury and formation of biliary fistulas, to directly enter the portal vein.
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Authors
Dates
2018-03-28—Published
2016-09-28—Filed