Hepatofugal Portal Venous Flow on Doppler Sonography After Liver Transplantation Analysis of presumed causes based on radiologic and pathologic features
- Title
- Hepatofugal Portal Venous Flow on Doppler Sonography After Liver Transplantation Analysis of presumed causes based on radiologic and pathologic features
- Author
- 정우경
- Keywords
- Doppler sonography; hepatofugal portal venous flow; liver transplantation; rejection
- Issue Date
- 2012-07
- Publisher
- Amer INST Ultrasound Medicine
- Citation
- Journal of Ultrasound in Medicine, 2012, 31(7), P.1069-1079
- Abstract
- Objectives-The purpose of this study was to categorize hepatofugal portal venous flow on Doppler sonography after liver transplantation and to investigate its clinical importance and presumed causes based on radiologic and pathologic findings.Methods-This retrospective study was approved by our Institutional Review Board, and the requirement for informed consent was waived. Examination of our database over 4 years revealed 30 patients in whom Doppler sonography showed hepatofugal portal venous flow during follow-up periods. We investigated its occurrence and clinical features, including radiologic and pathologic findings, and classified the possible causes into 5 types: A, systemic problems; B, gross vascular abnormalities correctable by intervention; C, specific cardiac problems; D, microscopic abnormalities of the graft; and E, miscellaneous. We classified the patterns of hepatofugal portal venous flow into continuous hepatofugal or hepatofugal-dominant to-and-fro flow and hepatopetal-dominant to-and-fro flow, and we investigated the relationship of the presumed causes and flow patterns with the clinical course.Results-The incidence of hepatofugal portal venous flow was 2.38%. The overall mortality rate was 26.67% (95% confidence interval, 11.1%-42.9%): all patients (n = 5) in group A, 1 in group C, and 2 in group D, died. Possible cause type B and a mainly hepatopetal flow pattern were good prognostic factors (P=.031 and .018, respectively).Conclusions-Hepatofugal portal venous flow reflects diverse pathologic conditions after liver transplantation, and its clinical importance also differs depending on the cause.
- URI
- https://onlinelibrary.wiley.com/doi/full/10.7863/jum.2012.31.7.1069
- ISSN
- 0278-4297
- Appears in Collections:
- COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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