Effect of intrahepatic veno-venous communications on the consistency of hepatic venous pressure gradient and portal vein pressure gradient
10.3760/cma.j.cn113855-20220120-00041
- VernacularTitle:肝硬化门静脉高压患者肝内静脉-静脉侧支分流影响肝静脉压力梯度与门静脉压力梯度的一致性研究
- Author:
Mingming MENG
1
;
Qingkun SONG
;
Fan YANG
;
Zhendong YUE
;
Lei WANG
;
Hongwei ZHAO
;
Zhenhua FAN
;
Yifan WU
;
Yu ZHANG
;
Chengbin DONG
;
Ke ZHANG
;
Li JIANG
;
Huiguo DING
;
Yuening ZHANG
;
Fuquan LIU
Author Information
1. 首都医科大学附属北京世纪坛医院消化内科，北京 100038
- Keywords:
Hypertension, portal;
Collateral circulation;
Hepatic veins;
Portal vein pressure
- From:
Chinese Journal of General Surgery
2022;37(6):414-419
- CountryChina
- Language:Chinese
-
Abstract:
Objective:By using balloon occlusive hepatic angiography in cirrhotic portal hypertension to evaluate contrast doses on the detection rate of intrahepatic venous-lateral branch shunt (HVVC), and the effect on hepatic venous pressure gradient (HVPG) and portal vein pressure gradient (PPG).Methods:From Jan 2018 to Jun 2021, 131 patients received transjugular intrahepatic portosystemic shunt (TIPS) at Beijing Shijitan Hospital.Results:A positive correlation between PVP and weged hepatic venous pressure (WHVP) ( r=0.241, P=0.001) was found when only by right hepatic vein approach. Ten ml of iodine contrast medium when compared to 5ml doses found more cases of intrahepatic venous-venous lateral branch shunt. The mean PPG of patients with HVVC was significantly higher than the mean of HVPG( P<0.05).The right hepatic vein was the only reliable vein by which WHVP was measured. Conclusions:Right hepatic vein manometry,adequate ballon occlusion and using 10ml of iodine contrast help get reliable WHVP and found HVVC; HVVC can affect the consistency of HVPG and PPG.
