揭示门静脉解剖：经颈静脉肝内门静脉系统分流变异的临床影响和意义。

IF 1.3 4区医学 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Seminars in Interventional Radiology Pub Date : 2025-01-28 eCollection Date: 2025-04-01 DOI:10.1055/s-0045-1802347

Kristina Yancey, Liane Ruddy, Curtis L Simmons, Daniel A Crawford, Sadeer Alzubaidi, Sailen Naidu, Merve Ozen

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引用次数: 0

摘要

深入了解门静脉解剖，特别是其变异，对于介入放射科医生进行复杂的肝胆手术，如经颈静脉肝内门静脉系统分流术（TIPS）是必不可少的。大约35%的人群存在门静脉系统的解剖变异，如果不能识别这些变异，可能会导致严重的手术并发症，包括血管损伤和手术后肝衰竭。本文讨论了最常见的（I-V型）门静脉变异及其术前识别的重要性，对手术结果的潜在影响，以及先进成像技术在减轻这些解剖变异相关风险中的作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Unveiling Portal Vein Anatomy: Clinical Impact and Significance of Variants in Transjugular Intrahepatic Portosystemic Shunt Creation.

An in-depth understanding of portal venous anatomy, particularly its variants, is essential for interventional radiologists performing complex hepatobiliary procedures such as transjugular intrahepatic portosystemic shunt (TIPS) creation. Anatomical variations in the portal venous system occur in approximately 35% of the population, and failure to identify these variants can result in significant procedural complications including vascular injury and postprocedural liver failure. This article discusses the most common (types I-V) portal vein variants and the importance of their preprocedural identification, their potential impact on procedural outcomes, and the role of advanced imaging techniques in mitigating risks associated with these anatomical variations.

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来源期刊

Seminars in Interventional Radiology RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING&nb-

CiteScore

1.90

自引率

7.10%

发文量

期刊介绍： Seminars in Interventional Radiology is a review journal that publishes topic-specific issues in the field of radiology and related sub-specialties. The journal provides comprehensive coverage of areas such as cardio-vascular imaging, oncologic interventional radiology, abdominal interventional radiology, ultrasound, MRI imaging, sonography, pediatric radiology, musculoskeletal radiology, metallic stents, renal intervention, angiography, neurointerventions, and CT fluoroscopy along with other areas. The journal''s content is suitable for both the practicing radiologist as well as residents in training.