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[Hemodynamic changes in portal system after transjugular intrahepatic portosystemic shunts (TIPS)].

Abstract
In this study portal venous flow (PVF), splenic venous flow (SPVF), hepatic artery volume (HAV), and portal pressure were measured before and after TIPS in 11 patients with portal hypertension. The results were compared with those of normal controls. In the normal controls PVF averaged 947.2 +/- 133.4ml/min, SPVF 239.6 +/- 116.3ml/min, and HAV 241.6 +/- 78.8ml/min. In the TIPS group before and after TIPS, PVF was 883.2 +/- 233.4ml/min vs. 958.7 +/- 185.2ml/min; SPVF was 448.9 +/- 111.6ml/min vs. 333.1 +/- 101.5ml/min; HVP was 225.3 +/- 122.7ml/min vs. 249.3 +/- 103.8ml/min. Portal pressure dropped from 3.94kPa +/- 0.46 to 2.52 +/- 0.60kPa after TIPS. We conclude that in patients after TIPS portal pressure drops blood flow in the truck of the portal vein increases, flow of hepatic tissue decreases, and blood flow in splenic vein decreases. Blood flow in hepatic aftery was not significantly changed.
AuthorsW Li, Y Xiao, H Xu
JournalZhonghua wai ke za zhi [Chinese journal of surgery] (Zhonghua Wai Ke Za Zhi) Vol. 33 Issue 8 Pg. 476-8 (Aug 1995) ISSN: 0529-5815 [Print] China
PMID8706563 (Publication Type: English Abstract, Journal Article)
Topics
  • Adult
  • Female
  • Follow-Up Studies
  • Hemodynamics
  • Humans
  • Hypertension, Portal (physiopathology, surgery)
  • Liver Circulation
  • Male
  • Middle Aged
  • Portal System (physiopathology)
  • Portasystemic Shunt, Surgical (methods)
  • Ultrasonography, Doppler, Color
  • Venous Pressure

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