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- Title
DIRECTION OF PORTAL COLLATERAL FLOW AS AN INDICATION OF THE OPERATIVE RISK IN PORTA-CAVAL SHUNTS.
- Authors
Adar, R.; Deutsch, V.; Fogel, R.; Mozes, M.
- Abstract
Twenty three patients with cirrhosis and bleeding esophageal varices who underwent porta-caval shunts were divided into two groups according to the direction of flow in the collateral veins and the rate of appearance of radio-opaque dye in the liver at the time of angiography. There were 8 patients with hepato-petal and 15 with hepato-fugal flow. The pre-operative data were similar (but not identical) in the two groups. A small difference in operative mortality and long term survival was noted in favor of the patients with hepato-fugal flow but this difference was not significant statistically. A larger number of cases is required before a definite relationship can be established between the direction of portal collateral flow on angiography and the risk of porta-caval shunt operations.
- Subjects
CIRRHOSIS of the liver; SURGICAL arteriovenous shunts; PORTAL hypertension; ANGIOGRAPHY; HEMODYNAMICS
- Publication
Vascular Surgery, 1974, Vol 8, Issue 3, p184
- ISSN
0042-2835
- Publication type
Article
- DOI
10.1177/153857447400800307