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Radiology, Vol 186, 529-534, Copyright © 1993 by Radiological Society of North America


ARTICLES

Transjugular intrahepatic portosystemic shunt: evaluation with Doppler sonography

JM Longo, JI Bilbao, HP Rousseau, L Garcia-Villareal, JP Vinel, JM Zozaya, FG Joffre and J Prieto
Department of Radiology, Universidad de Navarra, Pamplona, Spain.

To assess the potential role of ultrasound (US) in evaluating transjugularly inserted intrahepatic portosystemic shunts, the authors performed sonographic, including duplex and color Doppler, studies in 23 patients. Imaging was performed before, during the first week after, and 2-3 months after shunt placement. The prostheses were readily visualized and shunt patency was easily determined with Doppler US in all patients. The mean of the maximum blood flow velocity in the main portal vein increased from 7 (range, 3-16) cm/sec before shunting to 24 (range, 18-47) cm/sec 2-3 months after shunting. Flow reversal was detected in the intrahepatic portal branches in 16 (69%) of the 23 patients. US allowed prompt detection and management of two cases of incomplete stent expansion and one case of shunt stenosis due to pseudo- intimal hyperplasia. Sonography is a valuable tool for evaluation of changes in hepatic hemodynamics after transjugular intrahepatic shunt placement.


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Am. J. Roentgenol.Home page
J. Zizka, P. Elias, A. Krajina, A. Michl, M. Lojik, P. Ryska, J. Maskova, P. Hulek, V. Safka, T. Vanasek, et al.
Value of Doppler Sonography in Revealing Transjugular Intrahepatic Portosystemic Shunt Malfunction: A 5-Year Experience in 216 Patients
Am. J. Roentgenol., July 1, 2000; 175(1): 141 - 148.
[Abstract] [Full Text] [PDF]


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Journal of Diagnostic Medical SonographyHome page
T. Foix, J. C. Anderson, C. R. Fisher, and B. Pinkerman
Sonography's Role in the Patient With Transjugular Intrahepatic Portosystemic Shunt
Journal of Diagnostic Medical Sonography, November 1, 1996; 12(6): 274 - 279.
[Abstract] [PDF]




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