Clinical Value of Ultrasound in Evaluating Stent Placement for Managing Graft Stenosis after Meso-rex Bypass.
10.3881/j.issn.1000-503X.13712
- Author:
Xia XIE
1
;
Qi MENG
1
;
Qian LU
2
;
Yue-Wei ZHANG
2
;
Liang WANG
2
;
Hua-Bin ZHANG
1
Author Information
1. Department of Ultrasound, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine,Tsinghua University,Beijing 102218,China.
2. Hepatopancreatobiliary Center,Beijing Tsinghua Changgung Hospital, School of Clinical Medicine,Tsinghua University,Beijing 102218,China.
- Publication Type:Journal Article
- Keywords:
after Meso-rex bypass;
graft stenosis;
stent placement;
ultrasound
- MeSH:
Adolescent;
Adult;
Constriction, Pathologic;
Female;
Humans;
Hypertension, Portal;
Male;
Middle Aged;
Portal Vein/surgery*;
Portasystemic Shunt, Surgical;
Stents;
Treatment Outcome;
Young Adult
- From:
Acta Academiae Medicinae Sinicae
2021;43(6):886-891
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the feasibility of using ultrasound to evaluate stent placement for managing graft stenosis after Meso-rex bypass for cavernous transformation of the portal vein in adults. Methods This study enrolled the patients who underwent Meso-rex bypass due to cavernous transformation of the portal vein,were diagnosed graft stenosis by postoperative ultrasound,and then underwent percutaneous portal vein puncture portography and stent placement.We then compared the ultrasonic measurement indicators and sonographic manifestations before and after stent placement,and evaluated the alleviation of portal hypertension symptoms after stent placement and related clinical indexes. Results Finally,8 patients were enrolled in this study,including 5 males and 3 females,with an average age of(32.4±14.7)years.The median duration of follow-up was 26 months after stent placement.The mean diameter of graft stenosis was(2.74±0.23)mm after Meso-rex bypass and became wider[(7.23±0.68)mm]after stent placement(
