Endovascular Assessment of Liver Hemodynamics in Patients with Cirrhosis Complicated by Portal Hypertension

被引：8

作者：

Ferral, Hector ^{[1
]}

Schepis, Filippo ^{[2
]}

Gaba, Ron C. ^{[3
,4
,5
]}

Garcia-Tsao, Guadalupe ^{[6
,7
]}

Zanetto, Alberto ^{[2
]}

Perez-Campuzano, Valeria ^{[8
,9
,10
,11
]}

Haskal, Ziv J. ^{[12
]}

Garcia-Pagan, Juan Carlos ^{[8
,9
,10
,11
]}

机构：

[1] Louisiana State Univ, Sect Intervent Radiol, New Orleans, LA USA

[2] Louisiana State Univ, Dept Radiol, New Orleans, LA USA

[3] AOU Modena, Div Gastroenterol, Modena, Italy

[4] Univ Modena, Modena, Italy

[5] Univ Illinois, Div Intervent Radiol, Dept Radiol, Chicago, IL USA

[6] Yale Sch Med, Digest Dis Sect, Internal Med, New Haven, CT USA

[7] VA Connecticut Healthcare Syst, West Haven, CT USA

[8] Padova Univ Hosp, Dept Surg Oncol & Gastroenterol, Gastroenterol & Multivisceral Transplant Unit, Padua, Italy

[9] Univ Barcelona, Inst Investigac Biome Diques August Pi Sunyer, Hosp Clin, Liver Unit, Barcelona, Spain

[10] Ctr Investigacio Biomed Red & Enfermedades Hepat, Madrid, Spain

[11] European Reference Network Rare Liver Disorders, Hlth Care, Hamburg, Germany

[12] Univ Virginia, Sch Med, Dept Radiol & Med Imaging Intervent Radiol, Charlottesville, VA USA

来源：

JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY | 2023年 / 34卷 / 03期

基金：

美国国家卫生研究院;

关键词：

VENOUS-PRESSURE GRADIENT; INTRAHEPATIC PORTOSYSTEMIC SHUNT; REFRACTORY HEPATIC-ENCEPHALOPATHY; PROGNOSTIC INDICATORS; BETA-BLOCKERS; VARICEAL HEMORRHAGE; GASTROESOPHAGEAL VARICES; RISK STRATIFICATION; PRIMARY PROPHYLAXIS; RANDOMIZED-TRIAL;

D O I：

10.1016/j.jvir.2022.12.014

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

The hepatic venous pressure gradient (HVPG) is currently considered the gold standard to assess portal hypertension (PH) in patients with cirrhosis. A meticulous technique is important to achieve accurate and reproducible results, and values obtained during measurement are applied in risk stratification of patients with PH, allocating treatment options, monitoring follow-up, and deciding management options in surgical patients. The use of portosystemic pressure gradients in patients undergoing placement of transjugular intrahepatic portosystemic shunts has been studied extensively and has great influence on decisions on shunt diameter. The purpose of this study was to describe the recommended technique to measure HVPG and portosystemic pressure gradient and to review the existing literature describing the importance of these hemodynamic measurements in clinical practice.

引用

页码：327 / 336

页数：10

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