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Early postoperative duplex ultrasound findings of the hepatic artery in postoperative vascular complications from paediatric liver transplantation
PURPOSE: To evaluate duplex US findings of the HA in all three postoperative vascular (HA, PV, HV and IVC) complications of paediatric LT for early detection and some helpful secondary signs to determine these vascular complications. MATERIALS AND METHODS: We collected data from 44 post-LT paediatri...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10468478/ https://www.ncbi.nlm.nih.gov/pubmed/36264540 http://dx.doi.org/10.1007/s40477-022-00738-4 |
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author | Panpikoon, Tanapong Treesit, Tharintorn Bua-ngam, Chinnarat Feinggumloon, Sasikorn Pichitpichatkul, Kaewpitcha Sriprachyakul, Apichaya Aimprasittichai, Satita Chimcherd, Apinya Thirapattaraphan, Chollasak Lertudomphonwanit, Chatmanee Tanpowpong, Pornthep |
author_facet | Panpikoon, Tanapong Treesit, Tharintorn Bua-ngam, Chinnarat Feinggumloon, Sasikorn Pichitpichatkul, Kaewpitcha Sriprachyakul, Apichaya Aimprasittichai, Satita Chimcherd, Apinya Thirapattaraphan, Chollasak Lertudomphonwanit, Chatmanee Tanpowpong, Pornthep |
author_sort | Panpikoon, Tanapong |
collection | PubMed |
description | PURPOSE: To evaluate duplex US findings of the HA in all three postoperative vascular (HA, PV, HV and IVC) complications of paediatric LT for early detection and some helpful secondary signs to determine these vascular complications. MATERIALS AND METHODS: We collected data from 44 post-LT paediatric patients who underwent daily duplex US for seven consecutive days and three months after LT during January 2017–June 2020. Four duplex US parameters of the HA (extrahepatic PSV, intrahepatic PSV, RI and AT) were compared in patients with and without complications. RESULTS: The PSV of the extrahepatic HA in patients with HA complications was higher than that in patients without complications (P value = 0.019). The PSV at 107.7 cm/s is the optimal cut-off parameter associated with HA complications [a sensitivity of 88.9% and a specificity of 80.0% (ROC area is 0.84)]. The intrahepatic RI was higher on the first day than on the last day and gradually decreased in patients without vascular complications (P value = 0.000). The intrahepatic PSV significantly decreased with time when comparing the first and last days in patients without PV and HV-IVC complications (P value = 0.014 and 0.038). In contrast, patients with vascular complications showed no significant decrease. CONCLUSION: The extrahepatic PSV relates to HA complications after paediatric LT but not PV and HV-IVC complications. Non-significantly decreased intrahepatic RI and PSV from the first day to the day of complication diagnosis may correlate with the occurrence of vascular complications. |
format | Online Article Text |
id | pubmed-10468478 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-104684782023-09-01 Early postoperative duplex ultrasound findings of the hepatic artery in postoperative vascular complications from paediatric liver transplantation Panpikoon, Tanapong Treesit, Tharintorn Bua-ngam, Chinnarat Feinggumloon, Sasikorn Pichitpichatkul, Kaewpitcha Sriprachyakul, Apichaya Aimprasittichai, Satita Chimcherd, Apinya Thirapattaraphan, Chollasak Lertudomphonwanit, Chatmanee Tanpowpong, Pornthep J Ultrasound Original Paper PURPOSE: To evaluate duplex US findings of the HA in all three postoperative vascular (HA, PV, HV and IVC) complications of paediatric LT for early detection and some helpful secondary signs to determine these vascular complications. MATERIALS AND METHODS: We collected data from 44 post-LT paediatric patients who underwent daily duplex US for seven consecutive days and three months after LT during January 2017–June 2020. Four duplex US parameters of the HA (extrahepatic PSV, intrahepatic PSV, RI and AT) were compared in patients with and without complications. RESULTS: The PSV of the extrahepatic HA in patients with HA complications was higher than that in patients without complications (P value = 0.019). The PSV at 107.7 cm/s is the optimal cut-off parameter associated with HA complications [a sensitivity of 88.9% and a specificity of 80.0% (ROC area is 0.84)]. The intrahepatic RI was higher on the first day than on the last day and gradually decreased in patients without vascular complications (P value = 0.000). The intrahepatic PSV significantly decreased with time when comparing the first and last days in patients without PV and HV-IVC complications (P value = 0.014 and 0.038). In contrast, patients with vascular complications showed no significant decrease. CONCLUSION: The extrahepatic PSV relates to HA complications after paediatric LT but not PV and HV-IVC complications. Non-significantly decreased intrahepatic RI and PSV from the first day to the day of complication diagnosis may correlate with the occurrence of vascular complications. Springer International Publishing 2022-10-20 /pmc/articles/PMC10468478/ /pubmed/36264540 http://dx.doi.org/10.1007/s40477-022-00738-4 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Original Paper Panpikoon, Tanapong Treesit, Tharintorn Bua-ngam, Chinnarat Feinggumloon, Sasikorn Pichitpichatkul, Kaewpitcha Sriprachyakul, Apichaya Aimprasittichai, Satita Chimcherd, Apinya Thirapattaraphan, Chollasak Lertudomphonwanit, Chatmanee Tanpowpong, Pornthep Early postoperative duplex ultrasound findings of the hepatic artery in postoperative vascular complications from paediatric liver transplantation |
title | Early postoperative duplex ultrasound findings of the hepatic artery in postoperative vascular complications from paediatric liver transplantation |
title_full | Early postoperative duplex ultrasound findings of the hepatic artery in postoperative vascular complications from paediatric liver transplantation |
title_fullStr | Early postoperative duplex ultrasound findings of the hepatic artery in postoperative vascular complications from paediatric liver transplantation |
title_full_unstemmed | Early postoperative duplex ultrasound findings of the hepatic artery in postoperative vascular complications from paediatric liver transplantation |
title_short | Early postoperative duplex ultrasound findings of the hepatic artery in postoperative vascular complications from paediatric liver transplantation |
title_sort | early postoperative duplex ultrasound findings of the hepatic artery in postoperative vascular complications from paediatric liver transplantation |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10468478/ https://www.ncbi.nlm.nih.gov/pubmed/36264540 http://dx.doi.org/10.1007/s40477-022-00738-4 |
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