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| Abstract |
Along with the expansion of living donor liver transplantation, whereby hepatic venous anastomosis is mandatory, the frequency of hepatic venous stenosis that need interventional treatment is increasi...ng. Due to its anatomical features, there are several pitfalls in the process of endovascular intervention for hepatic vein. Insufficient information of and around the hepatic vein may lead to miss-diagnosis of target lesion. Simulation by using three-dimensional computed tomography images was useful in planning the direction of X-ray projection and, as a consequence, contributed to safe endovascular treatment for hepatic venous stenosis.
肝静脈吻合が必須の手技である生体肝移植術症例の増加に伴い，術後の肝静脈狭窄に対して経静脈的治療が必要となる症例が増えつつある．肝静脈はその解剖学的位置の特性により，経静脈的治療を行うにあたりいくつかのピットフォールが存在する．不十分な情報のもとに治療を行えば治療効果が得られないのみならず，合併症の発症にもつながる．三次元画像に基づいた治療前シミュレーションが安全で効果的な経静脈的肝静脈ステント治療に有効であったので報告する．show more
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