Percutaneous Transhepatic Catheterization of the Portal Venous System

  • Flemming Burcharth


Percutaneous catheterization of the portal venous system can be performed by puncture of the liver, by recanalization of the umbilical vein and through a transjugular-transhepatic route (via the jugular vein, vena cava and hepatic vein and then through the liver parenchyma) (Fig. 10.1). Transumbilical catheterization of the portal vein is a surgical procedure which at the present time is used only occasionally. The transjugular-transhepatic catheterization can be carried out when percutaneous liver puncture is contraindicated because of coagulopathy, but selective catheterization of the extrahepatic portal venous system is technically difficult, and experience in the method is still limited.


Portal Vein Portal Hypertension Esophageal Varix Portal Vein Thrombosis Portal Pressure 
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Copyright information

© Springer Japan 1991

Authors and Affiliations

  • Flemming Burcharth
    • 1
  1. 1.Department of Surgical Gastroenterology, Herlev HospitalUniversity of CopenhagenHerlevDenmark

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