• DOI:10.1148/92.5.1112
• Corpus ID: 21506157

Transjugular portal venography and radiologic portacaval shunt: an experimental study.

@article{Rsch1969TransjugularPV,
  title={Transjugular portal venography and radiologic portacaval shunt: an experimental study.},
  author={Josef R{\"o}sch and William N. Hanafee and Harold D. Snow},
  journal={Radiology},
  year={1969},
  volume={92 5},
  pages={
          1112-4
        }
}

• J. Rösch, W. Hanafee, H. Snow
• Published 1 April 1969
• Medicine
• Radiology

Conventional methods of opacifying the portal system are splenic portography (1) and intra-arterial contrast injections into the visceral arteries with delayed films (6). More exotic means reported include translumbar portal vein puncture (4), umbilical vein catheterization (2), hemorrhoidal vein cannulization under spinal anesthesia (7), or laparotomy with cannulization of a mesenteric vein branch (5). All methods produce good to fair opacification of the portal venous system but allow no selectivity of contrast injections or opportunities for manipulative procedures in the venous system. For two years we have performed cholangiography (3) by passing a modified Ross needle and catheter system down the internal jugular vein and superior vena cava, across the right atrium into the inferior vena cava, and then into the hepatic veins in order to puncture the biliary duct system from inside the liver. With this same approach, one of the major branches of the portal vein can be punctured and the catheter inser...