Portosystemic Vascular Anomalies

被引：83

作者：

Berent, Allyson C. ^{[1
,2
]}

Tobias, Karen M. ^{[3
]}

机构：

[1] Univ Penn, Vet Hosp, Sect Internal Med, Philadelphia, PA 19104 USA

[2] Univ Penn, Vet Hosp, Sect Surg, Philadelphia, PA 19104 USA

[3] Univ Tennessee, Dept Small Anim Clin Sci, Knoxville, TN 37996 USA

来源：

VETERINARY CLINICS OF NORTH AMERICA-SMALL ANIMAL PRACTICE | 2009年 / 39卷 / 03期

关键词：

Shunt; Extrahepatic; Intrahepatic; Malformation; Embolization; TRANSVENOUS COIL EMBOLIZATION; SERUM BILE-ACIDS; NONCIRRHOTIC PORTAL-HYPERTENSION; AMEROID RING CONSTRICTORS; AMMONIA TOLERANCE-TEST; CLINICALLY NORMAL DOGS; HEPATOBILIARY DISEASE; SURGICAL-TREATMENT; ULTRASONOGRAPHIC DIAGNOSIS; MICROVASCULAR DYSPLASIA;

D O I：

10.1016/j.cvsm.2009.02.004

中图分类号：

S85 [动物医学（兽医学）];

学科分类号：

090604 [动物药学];

摘要：

Portovascular anomalies are most commonly seen as congenital communications in dogs and cats. Fixation, whether surgical or interventional, should be considered in all cases for which it is possible to improve perfusion to the liver, and ultimately liver function. Medical management before fixation is always recommended. If surgery is not recommended or not possible, long-term medical management can be successful in approximately 30% of cases. New modalities, such as percutaneous transjugular coil embolization or glue embolization, facilitate treatment of more complicated conditions, such as intrahepatic portosystemic shunts and hepatic arteriovenous malformations.

引用

页码：513 / +

页数：31

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