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Portal Vein Blood Flow (portal + vein_blood_flow)
Selected AbstractsIntraoperative portal vein blood flow predicts allograft and patient survival following liver transplantationHPB, Issue 3 2010Austin L. Spitzer Abstract Background:, We hypothesized that operative variables might predict survival following liver transplantation. Methods:, We examined perioperative variables from 469 liver transplants carried out at the University of Washington during 2003,2006. Logistic regression determined the variables' contributions to survival at 30, 90 and 365 days. Results:, Portal vein blood flow (>1 l/min) was significant to patient survival at 30, 90 and 365 days. Complete reperfusion was only a significant predictor of survival at 30 days. This provided model receiver operating characteristic (ROC) area under the curve (AUC) statistics of 0.93 and 0.87 for 30 and 90 days, respectively. At 365 days, hepatic artery blood flow (>250 ml/min) combined with portal vein blood flow was significantly predictive of survival, with an AUC of 0.74. A subset analysis of 110 transplants demonstrated improved 1-year survival with more aggressive vascular revisions. Discussion:, Portal vein blood flow is a significant predictor of survival after liver transplantation. Initially, the liver's survival is based on portal vein blood flow; however, subsequent biliary problems and patient demise result from both poor portal vein and inadequate hepatic artery blood flow. [source] Effects of diffuse fatty infiltration of the liver on portal vein flow hemodynamicsJOURNAL OF CLINICAL ULTRASOUND, Issue 3 2008Ali Balci MD Abstract Purpose To investigate the effects of various degrees of diffuse fatty infiltration of the liver on portal vein blood flow with Doppler sonography. Methods One hundred forty subjects were examined with color and spectral Doppler sonography. The subjects were divided into 4 groups of 35 subjects each according to the degree (normal, grade 1, grade 2 and grade 3) of hepatic fatty infiltration assessed on gray-scale images. The portal vein pulsatility index (VPI) and time-averaged mean flow velocity (MFV) were calculated for each subject. VPI was calculated as (peak maximum velocity , peak minimum velocity) / peak maximum velocity. Results VPI and MFV values were, respectively, 0.32 ± 0.06 and 16.8 ± 2.6 cm/second in the normal group, 0.27 ± 0.07 and 14.2 ± 2.2 cm/second in the group with grade 1 fatty infiltration, 0.22 ± 0.06 and 12.2 ± 1.8 cm/second in the group with grade 2 fatty infiltration, and 0.18 ± 0.04 and 10.8 ± 1.5 cm/second in the group with grade 3 fatty infiltration. There was a negative inverse correlation between the grade of fatty infiltration and both VPI (f = 55.3, p < 0.001) and MFV (f = 43.9, p < 0.001). Conclusion The pulsatility index and mean velocity of the portal vein blood flow decrease as the severity of fatty infiltration increases. © 2008 Wiley Periodicals, Inc. J Clin Ultrasound, 2008. [source] | ||||||||||