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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
|
pubmed:dateCreated |
1990-5-24
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pubmed:abstractText |
A percutaneously-controlled inflatable cuff which can change the diameter of a portacaval H-graft has been developed and used in 10 patients. When inflated, the cuff narrows the H-graft to increase portal pressure and reduce shunting. Use of the cuff has been of clinical significance in 3 of 7 long-term surviving patients. Narrowing the shunt improved the clinical state in 2 patients with encephalopathy, and reopening a closed shunt improved ascites in the third patient. Duplex ultrasound and deep Doppler have demonstrated an alteration of hepatic portal blood flow following inflation of the cuff after 6 months. It is concluded that further development of this controlled portacaval H-graft is warranted.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0364-2313
|
pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
14
|
pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
235-40; discussion 241
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:2327096-Adult,
pubmed-meshheading:2327096-Aged,
pubmed-meshheading:2327096-Equipment Design,
pubmed-meshheading:2327096-Female,
pubmed-meshheading:2327096-Hepatic Encephalopathy,
pubmed-meshheading:2327096-Humans,
pubmed-meshheading:2327096-Male,
pubmed-meshheading:2327096-Middle Aged,
pubmed-meshheading:2327096-Polytetrafluoroethylene,
pubmed-meshheading:2327096-Portasystemic Shunt, Surgical
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pubmed:articleTitle |
Percutaneous control of a portacaval H-graft: description of a new device and its initial clinical application.
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pubmed:affiliation |
Department of Surgery, University of Sydney, Royal North Shore Hospital, Australia.
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pubmed:publicationType |
Journal Article,
Case Reports,
Research Support, Non-U.S. Gov't
|