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肝移植术后的多普勒评估

Postoperative doppler evaluation of liver transplants.

作者信息

Sanyal Rupan, Zarzour Jessica G, Ganeshan Dakshina M, Bhargava Puneet, Lall Chandana G, Little Mark D

机构信息

Department of Radiology, University of Alabama at Birmingham, Birmingham, Alabama, USA.

Department of Radiology, The University of Texas, MD Anderson Cancer Center, Houston, Texas, USA.

出版信息

Indian J Radiol Imaging. 2014 Oct;24(4):360-6. doi: 10.4103/0971-3026.143898.

DOI:10.4103/0971-3026.143898
PMID:25489129
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4247505/
Abstract

Doppler ultrasound plays an important role in the postoperative management of hepatic transplantation, by enabling early detection and treatment of various vascular complications. This article describes the normal Doppler findings following liver transplantation and reviews the imaging appearances of various vascular complications associated with it. The article also discusses transient waveform abnormalities, often seen on a post-transplant Doppler examination, and the importance of differentiating them from findings suggestive of ominous vascular complications.

摘要

多普勒超声在肝移植术后管理中发挥着重要作用,它能够早期发现并治疗各种血管并发症。本文描述了肝移植术后正常的多普勒检查结果,并回顾了与之相关的各种血管并发症的影像学表现。本文还讨论了移植后多普勒检查中常见的短暂波形异常,以及将它们与提示严重血管并发症的表现区分开来的重要性。

相似文献

1
Postoperative doppler evaluation of liver transplants.肝移植术后的多普勒评估
Indian J Radiol Imaging. 2014 Oct;24(4):360-6. doi: 10.4103/0971-3026.143898.
2
Routine Doppler ultrasound for the detection of clinically unsuspected vascular complications in the early postoperative phase after orthotopic liver transplantation.常规多普勒超声用于检测原位肝移植术后早期临床未怀疑的血管并发症。
Transpl Int. 1998;11(4):272-6. doi: 10.1007/s001470050140.
3
Intraoperative Doppler ultrasound in liver transplantation.肝移植术中的多普勒超声检查
Clin Transplant. 1998 Aug;12(4):292-9.
4
Diagnosis and Management of Hepatic Artery Complications After Liver Transplantation.肝移植术后肝动脉并发症的诊断与处理
Transplant Proc. 2015 Sep;47(7):2150-5. doi: 10.1016/j.transproceed.2014.11.068.
5
Hepatic artery stenosis following liver transplantation: significance of the tardus parvus waveform and the role of microbubble contrast media in the detection of a focal stenosis.肝移植术后肝动脉狭窄: tardus parvus波形的意义及微泡对比剂在局灶性狭窄检测中的作用
Clin Radiol. 2002 Sep;57(9):789-99.
6
Doppler ultrasound velocities and resistive indexes immediately after pediatric liver transplantation: normal ranges and predictors of failure.多普勒超声速度和阻力指数在小儿肝移植后即刻:正常范围和失败的预测因素。
AJR Am J Roentgenol. 2014 Jul;203(1):W110-6. doi: 10.2214/AJR.13.11685.
7
Hepatic transplantation: postoperative complications.肝移植:术后并发症
Abdom Imaging. 2013 Dec;38(6):1300-33. doi: 10.1007/s00261-013-0002-z.
8
Vascular complications in living related liver transplantation detected with intraoperative and postoperative Doppler US.通过术中及术后多普勒超声检测活体亲属肝移植中的血管并发症。
J Hepatol. 1995 Jun;22(6):623-32. doi: 10.1016/0168-8278(95)80218-5.
9
Doppler ultrasound findings in the hepatic artery shortly after liver transplantation.肝移植后短期内肝动脉的多普勒超声检查结果。
AJR Am J Roentgenol. 2009 Jul;193(1):128-35. doi: 10.2214/AJR.07.3919.
10
False-negative duplex Doppler studies in children with hepatic artery thrombosis after liver transplantation.肝移植术后儿童肝动脉血栓形成的双功多普勒检查假阴性研究。
AJR Am J Roentgenol. 1990 Mar;154(3):573-5. doi: 10.2214/ajr.154.3.2106224.

引用本文的文献

1
European Society of Pediatric Radiology survey of perioperative imaging in pediatric liver transplantation: (3) postoperative imaging.欧洲儿科放射学会小儿肝移植围手术期影像学调查:(3)术后影像学。
Pediatr Radiol. 2024 Feb;54(2):276-284. doi: 10.1007/s00247-023-05842-z. Epub 2024 Jan 29.
2
Utility of nifedipine use for Doppler ultrasound early after liver transplantation to predict short-term complications and long-term outcomes.硝苯地平在肝移植后早期多普勒超声中的应用对预测短期并发症和长期结局的效用。
Abdom Radiol (NY). 2024 Apr;49(4):1103-1112. doi: 10.1007/s00261-023-04152-0. Epub 2024 Jan 14.
3
The Yield of Routine Post-Operative Doppler Ultrasound to Detect Early Post-Liver Transplantation Vascular Complications.

本文引用的文献

1
Portal interventions in liver transplant recipients.肝移植受者的门静脉介入治疗
Semin Intervent Radiol. 2012 Jun;29(2):99-104. doi: 10.1055/s-0032-1312570.
2
Orthotopic liver transplantation: reversible Doppler US findings in the immediate postoperative period.原位肝移植:术后即刻可逆性多普勒超声表现。
Radiographics. 2012 Jan-Feb;32(1):199-211. doi: 10.1148/rg.321115006.
3
Postoperative imaging in liver transplantation: what radiologists should know.肝移植术后影像学:放射科医生应该知道什么。
常规术后多普勒超声检查在早期肝移植后血管并发症中的应用。
Transpl Int. 2023 Nov 29;36:11611. doi: 10.3389/ti.2023.11611. eCollection 2023.
4
Low hepatic artery resistive index on Doppler ultrasound performed on the first post-liver transplant day is associated both with hepatic artery thrombosis and decreased graft survival.移植术后第一天行多普勒超声检查时肝动脉阻力指数低与肝动脉血栓形成和移植物存活率降低均相关。
Langenbecks Arch Surg. 2023 Jun 12;408(1):231. doi: 10.1007/s00423-023-02971-9.
5
Doppler Ultrasound of Vascular Complications After Pediatric Liver Transplantation: Incidence, Time of Detection, and Positive Predictive Value.小儿肝移植术后血管并发症的多普勒超声检查:发生率、检测时间及阳性预测值
Ultrasound Int Open. 2022 Nov 16;8(2):E36-E42. doi: 10.1055/a-1961-9100. eCollection 2022 Nov.
6
Doppler evaluation of hepatic hemodynamics after living donor liver transplantation in infants.婴儿活体肝移植术后肝脏血流动力学的多普勒评估
Front Bioeng Biotechnol. 2022 Aug 11;10:903385. doi: 10.3389/fbioe.2022.903385. eCollection 2022.
7
Intraoperative Doppler Ultrasound for Detection of Early Postoperative Vascular Complications in Orthotopic Liver Transplants.术中多普勒超声用于检测原位肝移植术后早期血管并发症
Cureus. 2022 Jun 19;14(6):e26077. doi: 10.7759/cureus.26077. eCollection 2022 Jun.
8
Liver Transplant Imaging prior to and during the COVID-19 Pandemic.COVID-19 大流行前后的肝移植影像学。
Biomed Res Int. 2022 Jan 12;2022:7768383. doi: 10.1155/2022/7768383. eCollection 2022.
9
Study of Early Postoperative Doppler Changes Post Living Donor Liver Transplantation and Their Impact on Early Mortality and Small-for-Size Syndrome: A Retrospective Study.活体肝移植术后早期多普勒变化及其对早期死亡率和小肝综合征影响的研究:一项回顾性研究
Int J Gen Med. 2021 Jan 28;14:309-317. doi: 10.2147/IJGM.S280456. eCollection 2021.
10
Liver Transplant Complications Radiologist Can't Miss.放射科医生不能忽视的肝移植并发症
Cureus. 2020 Jun 5;12(6):e8465. doi: 10.7759/cureus.8465.
Radiographics. 2010 Mar;30(2):339-51. doi: 10.1148/rg.302095124.
4
Doppler ultrasound findings in the hepatic artery shortly after liver transplantation.肝移植后短期内肝动脉的多普勒超声检查结果。
AJR Am J Roentgenol. 2009 Jul;193(1):128-35. doi: 10.2214/AJR.07.3919.
5
Vascular complications of orthotopic liver transplantation: experience in more than 4,200 patients.原位肝移植的血管并发症:4200 多例患者的经验
J Am Coll Surg. 2009 May;208(5):896-903; discussion 903-5. doi: 10.1016/j.jamcollsurg.2008.12.032.
6
Role of imaging in the management of splenic artery steal syndrome.影像学在脾动脉盗血综合征管理中的作用。
J Ultrasound Med. 2009 Apr;28(4):471-7. doi: 10.7863/jum.2009.28.4.471.
7
Early hepatic artery thrombosis after liver transplantation: a systematic review of the incidence, outcome and risk factors.肝移植术后早期肝动脉血栓形成:发病率、结局及危险因素的系统评价
Am J Transplant. 2009 Apr;9(4):746-57. doi: 10.1111/j.1600-6143.2008.02541.x. Epub 2009 Mar 2.
8
Management of portal venous complications after liver transplantation.肝移植后门静脉并发症的管理
Tech Vasc Interv Radiol. 2007 Sep;10(3):233-9. doi: 10.1053/j.tvir.2007.09.017.
9
Vascular complications after liver transplantation: evaluation with Doppler US.肝移植术后血管并发症:多普勒超声评估
Abdom Imaging. 2007 May-Jun;32(3):339-47. doi: 10.1007/s00261-006-9041-z.
10
Clinical outcomes from hepatic artery stenting in liver transplantation.
Liver Transpl. 2006 Mar;12(3):422-7. doi: 10.1002/lt.20628.