Value of ordinary color Doppler flow imaging in the diagnosis of hepatic artery thrombosis in early stage after pediatric liver transplantation

Xu Hui; Ren Xiuyun; Yue Yang; Wu Fengdong; Li Wei; Chen Xinguo; Shen Zhongyang

doi:10.3969/j.issn.1674-7445.2014.05.009

Volume 5 Issue 5

Sep. 2014

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Xu Hui, Ren Xiuyun, Yue Yang, et al. Value of ordinary color Doppler flow imaging in the diagnosis of hepatic artery thrombosis in early stage after pediatric liver transplantation[J]. ORGAN TRANSPLANTATION, 2014, 5(5): 304-307. doi: 10.3969/j.issn.1674-7445.2014.05.009

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Value of ordinary color Doppler flow imaging in the diagnosis of hepatic artery thrombosis in early stage after pediatric liver transplantation

doi: 10.3969/j.issn.1674-7445.2014.05.009

1.
Department of Ultrasound, General Hospital of Chinese People's Armed Police Forces, Beijing 100039, China

Received Date: 2014-06-05
Publish Date: 2014-09-15

Abstract

Abstract

Objective To study the value of ordinary color Doppler flow imaging (CDFI) in the diagnosis of hepatic artery thrombosis(HAT) in early stage after pediatric liver transplantation(PLT). Methods Clinical data of 55 children undergoing PLT in the General Hospital of Chinese People's Armed Police Forces from April 2005 to May 2014 were analyzed retrospectively. Conventional hemodynamic monitoring was performed in all cases in the early stage after operation by CDFI. No intrahepatic arterial blood flow signal was observed by CDFI multi-angle examination and HAT was suspected. Computed tomography angiography (CTA) and surgical exploration were performed in the suspected HAT patients. The sensitivity and specificity of ordinary CDFI in diagnosing HAT were calculated by Chiss statistical software. Results Among the 55 PLT recipients, 3 cases were suspected as HAT by CDFI, including 2 cases of HAT in the main hepatic artery, 1 cases of HAT in the right hepatic artery. All cases were confirmed by CTA or surgical exploration. The incidence of HAT was 5% (3/55). No false positive HAT was observed. The sensitivity and the specificity of CDFI in diagnosing HAT after PLT were both 1.0, and false positive rate was 0. Conclusion Ordinary CDFI is the preferred and main method for hemodynamic examination after PLT. The experienced sonographer for transplantation can improve the accuracy in diagnosing HAT.
- Liver transplantation,
- Infant,
- Pediatric,
- Color Doppler flow image,
- Hepatic artery thrombosis

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[1]	Sanchez SE, Javid PJ, Lao OB, et al. Hepatic artery thrombosis and liver malignancy in pediatric liver transplantation[J]. J Pediatr Surg,2012,47(6):1255-1260. doi: 10.1016/j.jpedsurg.2012.03.035
[2]	Zhu JJ, Xia Q, Zhang JJ, et al. Living donor liver transplantation in 43 children with biliary atresia: a single-center experience from the mainland of China[J]. Hepatobiliary Pancreat Dis Int,2012,11(3):250-255. doi: 10.1016/S1499-3872(12)60156-8
[3]	Mali VP, Aw M, Quak SH, et al. Vascular complications in pediatric liver transplantation; single-center experience from Singapore[J]. Transplant Proc,2012,44(5):1373-1378. doi: 10.1016/j.transproceed.2012.01.129
[4]	Tannuri AC, Gibelli NE, Ricardi LR, et al. Living related donor liver transplantation in children[J]. Transplant Proc,2011,43(1):161-164. doi: 10.1016/j.transproceed.2010.11.013
[5]	Spada M, Riva S, Maggiore G, et al. Pediatric liver transplantation[J]. World J Gastroenterol,2009,15(6):648-674. doi: 10.3748/wjg.15.648
[6]	罗毅,徐宁,沈丛欢,等. 33例小儿活体肝移植术肝动脉并发症分析[J].肝胆外科杂志,2010,18(6):415-417. http://www.cnki.com.cn/Article/CJFDTOTAL-GDWZ201006010.htm Luo Y, Xu N, Shen CH, et al. Living-related donor liver transplantation: a report of 33 cases[J]. J Hepatobiliary Surg,2010,18(6):415-417. http://www.cnki.com.cn/Article/CJFDTOTAL-GDWZ201006010.htm
[7]	吕素琴,王平,郑荣琴,等. 肝移植术后早期及晚期肝动脉血栓的超声造影鉴别诊断[J].器官移植,2012,3(5):258-261,277. http://www.organtranspl.com/browse/detail/qkid/32/id/619.html Lyu SQ, Wang P, Zheng RQ, et al. Differential diagnosis of early and later hepatic artery thrombosis after liver transplantation by contrast-enhanced ultrasonography[J]. Organ Transplant,2012,3(5):258-261,277. http://www.organtranspl.com/browse/detail/qkid/32/id/619.html
[8]	任秀昀,邹卫龙,臧运金,等. 彩色多普勒血流显像技术监测肝移植术后发生血管并发症的时间分析[J].中华肝脏病杂志,2008,16(12):926-929. Ren XY, Zou WL, Zang YJ, et al. Monitoring vascular complications following liver transplantation using color Doppler flow imaging[J]. Chin J Hepatol,2008,16(12):926-929.
[9]	唐缨,潘澄,王玉红,等.超声对原位肝移植术后肝动脉并发症诊断新认识[J].中国超声医学杂志,2002,18(5):338-341. http://www.cnki.com.cn/Article/CJFDTOTAL-ZGCY200205007.htm Tang Y, Pan C, Wang YH, et al. Further understanding the diagnosis of postoperative hepatic artery complications in orthotopic liver transplantation with ultrasonography[J]. Chin J Ultrasound Med,2002,18(5):338-341. http://www.cnki.com.cn/Article/CJFDTOTAL-ZGCY200205007.htm
[10]	Nolten A, Sproat IA. Hepatic artery thrombosis after liver transplantation: temporal accuracy of diagnosis with duplex US and the syndrome of impending thrombosis[J]. Radiology,1996,198(2):553-559. doi: 10.1148/radiology.198.2.8596865
[11]	Berstad AE, Brabrand K, Foss A. Clinical utility of microbubble contrast-enhanced ultrasound in the diagnosis of hepatic artery occlusion after liver transplantation[J]. Transpl Int,2009,22(10):954-960. doi: 10.1111/tri.2009.22.issue-10
[12]	吕素琴,任杰,郑荣琴,等.肝移植术后早期及晚期肝动脉血栓的超声造影表现[J/CD].中华医学超声杂志: 电子版,2011,8(9):1922-1928. Lyu SQ, Ren J, Zheng RQ, et al. Performance of early and later hepatic artery thrombosis after liver transplantation by contrast-enhanced ultrasonography[J/CD]. Chin J Med Ultrasound: Electronic Version,2011,8(9):1922-1928.
[13]	Sacchetto P, Veltri A, Cena V, et al. The radiologist's role in managing paediatric liver transplantation: personal experience with 40 patients[J]. Radiol Med,2007,112(3):456-471. doi: 10.1007/s11547-007-0128-6
[14]	Sevmis S, Karakayali H, Tutar NU, et al. Management of early hepatic arterial thrombosis after pediatric living-donor liver transplantation[J]. Transplant Proc,2011,43(2):605-608. doi: 10.1016/j.transproceed.2011.01.011
[15]	Backes AN, Gibelli NE, Tannuri AC, et al. Hepatic artery graft in pediatric liver transplantation: single-center experience with 58 cases[J]. Transplant Proc,2011,43(1):177-180. doi: 10.1016/j.transproceed.2010.11.006

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Value of ordinary color Doppler flow imaging in the diagnosis of hepatic artery thrombosis in early stage after pediatric liver transplantation

doi: 10.3969/j.issn.1674-7445.2014.05.009

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Value of ordinary color Doppler flow imaging in the diagnosis of hepatic artery thrombosis in early stage after pediatric liver transplantation

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