Clinical utility of pulsed Doppler in the detection of arterioportal shunting in patients with hepatocellular carcinoma

Z. Y. Lin*, W. Y. Chang, L. Y. Wang, W. P. Su, S. N. Lu, S. C. Chen, W. L. Chuang, M. Y. Hsieh, J. F. Tsai

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

13 Scopus citations

Abstract

Ninety-seven patients with hepatocellular carcinoma had duplex scanning from the patent or residual portal lumen and comparative angiography. Duplex ultrasonography identified five of nine patients with angiographic evidence of arterioportal shunting. Furthermore, Doppler results indicated the presence of the shunt in one patient without angiographic evidence. Duplex scanning from the portal lumen may be useful in the detection of arterioportal shunting. This procedure can be used to evaluate the hemodynamic change of the recipient portal vein under natural physiologic conditions. However, small shunts without hepatofugal portal blood cannot be detected by this procedure.

Original languageEnglish
Pages (from-to)269-273
Number of pages5
JournalJournal of Ultrasound in Medicine
Volume11
Issue number6
DOIs
StatePublished - 1992
Externally publishedYes

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