Cited 2 times in
Doppler ultrasound follow-up of middle hepatic vein tributaries-interposition vessel graft in recipients of living donor liver transplantation using modified right lobe grafts
DC Field | Value | Language |
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dc.contributor.author | 이선영 | - |
dc.date.accessioned | 2019-01-02T16:42:02Z | - |
dc.date.available | 2019-01-02T16:42:02Z | - |
dc.date.issued | 2018 | - |
dc.identifier.issn | 0007-1285 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/166294 | - |
dc.description.abstract | OBJECTIVE: To investigate the value of Doppler ultrasound (US) in recipients of living donor liver transplantation (LDLT) using modified right-lobe grafts (mRLGs) with obstruction of the middle hepatic vein tributaries (MHVTs)-interposition vessel graft (IVG). METHODS: This study included 240 consecutive LDLT recipients in whom 564 MHVTs (>5 mm) were reconstructed using IVG. Regular follow-up Doppler US was performed to assess the patency of the MHVTs-IVG and, if there was an obstruction, to evaluate for the establishment of collateral drainage. MHVTs with obstruction were subdivided into those with and without intrahepatic veno-venous collaterals on Doppler US and were correlated with CT scans. RESULTS: MHVTs-IVG obstruction was identified in 137 patients with 227 MHVTs on follow-up Doppler US (6.2 ± 4.7 months). 90 patients with 149 MHVTs in whom the time interval between Doppler US and contrast-enhanced dynamic CT scans was <1 week were classified into either collateral (68 patients with 121 MHVTs) or non-collateral (22 patients with 28 MHVTs) groups. The presence of intrahepatic veno-venous collaterals on Doppler US were significantly related to no remarkable hepatic venous congestion on CT by both per-patient and per-vein analyses (66 of 68 patients (97.1%) and 118 of 121 MHVTs (97.5%), p < 0.001 and p < 0.001, respectively). CONCLUSION: On Doppler US follow-up of LDLT recipients using mRLGs, identification of intrahepatic veno-venous collaterals associated with obstruction of MHVTs-IVG suggests no remarkable hepatic venous congestion. Advances in knowledge: When an obstruction of a MHVTs-IVG is encountered on Doppler US follow-up of LDLT recipients using mRLGs, no further evaluation with CT is warranted if intrahepatic veno-venous collaterals are observed on Doppler US, as this finding suggests no remarkable hepatic congestion. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | British Institute of Radiology | - |
dc.relation.isPartOf | BRITISH JOURNAL OF RADIOLOGY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Follow-Up Studies | - |
dc.subject.MESH | Hepatic Veins/diagnostic imaging* | - |
dc.subject.MESH | Hepatic Veins/transplantation | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Liver/blood supply | - |
dc.subject.MESH | Liver/diagnostic imaging* | - |
dc.subject.MESH | Liver Transplantation*/methods | - |
dc.subject.MESH | Living Donors* | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Ultrasonography, Doppler* | - |
dc.subject.MESH | Vascular Patency | - |
dc.title | Doppler ultrasound follow-up of middle hepatic vein tributaries-interposition vessel graft in recipients of living donor liver transplantation using modified right lobe grafts | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Radiology (영상의학교실) | - |
dc.contributor.googleauthor | Sunyoung Lee | - |
dc.contributor.googleauthor | Kyoung Won Kim | - |
dc.contributor.googleauthor | So Yeong Jeong | - |
dc.contributor.googleauthor | Kyung Jin Lee | - |
dc.contributor.googleauthor | So Yeon Kim | - |
dc.contributor.googleauthor | Gi Won Song | - |
dc.contributor.googleauthor | Sung Gyu Lee | - |
dc.identifier.doi | 10.1259/bjr.20180066 | - |
dc.contributor.localId | A05659 | - |
dc.relation.journalcode | J00417 | - |
dc.identifier.eissn | 1748-880X | - |
dc.identifier.pmid | 29869918 | - |
dc.identifier.url | https://www.birpublications.org/doi/full/10.1259/bjr.20180066 | - |
dc.contributor.alternativeName | Lee, Sunyoung | - |
dc.contributor.affiliatedAuthor | 이선영 | - |
dc.citation.volume | 91 | - |
dc.citation.startPage | 20180066 | - |
dc.identifier.bibliographicCitation | BRITISH JOURNAL OF RADIOLOGY, Vol.91 : 20180066, 2018 | - |
dc.identifier.rimsid | 57860 | - |
dc.type.rims | ART | - |
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