Doppler ultrasound in the diagnosis of Budd-Chiari syndrome in children after split liver transplantation

Hak, Jean-François; Dabadie, A.; Hery, G.; Aschero, A.; Desvignes, C.; Pico, H.; Roquelaure, Bertrand; Bourlière, B; Colavolpe, N.; Gorincour, Guillaume; Auquier, P.; Petit, Philippe

doi:10.1016/j.diii.2018.04.012

Cited by 1 publication

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“…Compared with adult liver transplantation, pediatric liver transplantation has a higher incidence of complications, especially vascular complications 2 . At present, there are many studies evaluating hepatic arterial complications in pediatric liver transplantation, 2,3 yet few focus on venous complications [including portal vein (PV) and hepatic vein (HV) complications] 4–6 . However, venous complications may also affect the survival rate of the patients and the grafts of pediatric liver transplantation.…”

Section: Introductionmentioning

confidence: 99%

A new method to predict venous complications in pediatric liver transplantation: Evaluation of splenic parameters by ultrasonography

Jieyang,

Mei,

Kunying

et al. 2024

Pediatric Transplantation

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BackgroundVenous complications after pediatric liver transplantation seriously affect the survival rate of patients and grafts. At present, the diagnostic indicators have not been unified. Venous complications may cause portal hypertension, which may lead to splenomegaly and splenic vein dilatation. Therefore, the changes in spleen may be closely related to the venous complications. The purpose of this study was to explore the relationship between ultrasonic splenic parameters and venous complications and to study whether these splenic parameters can be used for the diagnosis of venous complications.MethodsWe retrospectively included pediatric patients who underwent liver transplantation and collected ultrasonic spleen parameters before, and then 1–3 days, 1–3 weeks, 1–3 months, and 4–12 months after liver transplantation. We observed whether there were portal vein or hepatic vein complications within 1 year after liver transplantation.ResultsAmong 109 pediatric patients after liver transplantation included in our study, 11 of them suffered from portal vein complications and nine hepatic vein complications. Spleen transverse diameter, spleen longitudinal diameter, spleen portal vein diameter, spleen index, spleen transverse diameter ratio, spleen longitudinal diameter ratio, and spleen index ratio were independent risk factors of venous complications. The accuracy of spleen transverse diameter (AUROC: 0.73), spleen index (AUROC: 0.70), spleen transverse diameter ratio (AUROC: 0.71), and spleen index ratio (AUROC: 0.72) in predicting venous complications were higher than other ones.ConclusionsUltrasonic examination is a common follow‐up method for pediatric patients after liver transplantation and the application of ultrasonic spleen parameters may be helpful to monitor venous complications.

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Section: Introductionmentioning

confidence: 99%

A new method to predict venous complications in pediatric liver transplantation: Evaluation of splenic parameters by ultrasonography

Jieyang,

Mei,

Kunying

et al. 2024

Pediatric Transplantation

View full text Add to dashboard Cite

show abstract

Doppler ultrasound in the diagnosis of Budd-Chiari syndrome in children after split liver transplantation

Abstract: A velocity ratio>3 on DUS is a reliable finding for the diagnosis of BCS in children after split liver transplantation.

Cited by 1 publication

References 30 publications

A new method to predict venous complications in pediatric liver transplantation: Evaluation of splenic parameters by ultrasonography

A new method to predict venous complications in pediatric liver transplantation: Evaluation of splenic parameters by ultrasonography

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