Relation of Portal Venous Pressure to Occluded Hepatic Venous Pressure

Cohn, Roy; Ordway, Gregory A.; Ellis, Eldon E.

doi:10.1001/archsurg.1954.01270060095014

Cited by 14 publications

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Presinusoidal Portal Hypertension in Non–Alcoholic Cirrhosis

et al. 1985

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The simultaneous measurement of wedged hepatic vein pressure (WHVP) and portal vein pressure (PVP) was performed in 156 cirrhotic patients. In the 110 alcoholic cirrhotic patients (97 micronodular and 13 macronodular cirrhosis), WHVP and PVP were closely related (25.8 +/- 6.3 vs. 25.9 +/- 6.3 mm Hg; p = not statistically significant). The difference between the two parameters was greater than 4 mm Hg in only six patients. In the 46 patients with nonalcoholic cirrhosis (41 macronodular and 1 micronodular cirrhosis; 4 primary biliary cirrhosis), PVP was significantly higher than was WHVP (25.8 +/- 6.2 vs. 21.7 +/- 6.8 mm Hg; p less than 0.001); in 20 patients, PVP exceeded WHVP by more than 4 mm Hg, and the mean difference was 7.5 mm Hg. There was no correlation between the porto-hepatic gradient and total hepatic blood flow measured by the indocyanine green single injection method or the portal fraction of total hepatic blood flow measured by indicator dilution curves. It is concluded that: (i) measurement of WHVP in alcoholic cirrhosis provides a reliable estimate of the severity of the portal hypertension, and (ii) hemodynamic evaluation of nonalcoholic cirrhosis should include PVP measurement in order to avoid underestimation of the porto-hepatic gradient.

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Presinusoidal Portal Hypertension in Non–Alcoholic Cirrhosis

et al. 1985

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Measurement of Hepatic Venous Pressure Gradient

Pomier‐Layrargues

Huet²

Clinical Gastroenterology

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Die portale Plethora

Patrassi¹,

Palù²,

Ruol³

1965

Ergebnisse Der Inneren Medizin Und Kinderheilkunde

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RuoL e E. PICCOLO: Determinszione e significato dei "gradienti di pressione venosa" nell'ambito splancnico in corso di ipertensione portale. Splene (suppl. Acta med. patav.) 17, 87 (1957).-, and G. DONAGGIO: Our experience in the estimation of HBF by colloidal heat denatured human serum albumin labelled with 131J. Symposium sulla Circolaz. d'organo Roma, Giugno 1962. -, et R. MIORI: Caracteristiques de l'Mmodynamique portale au cours des cirrhoses et de syndromes de Banti etudiees par l'epreuve de Henning a l'acetylene.

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Relation of Portal Venous Pressure to Occluded Hepatic Venous Pressure

Cited by 14 publications

References 2 publications

Presinusoidal Portal Hypertension in Non–Alcoholic Cirrhosis

Presinusoidal Portal Hypertension in Non–Alcoholic Cirrhosis

Measurement of Hepatic Venous Pressure Gradient

Die portale Plethora

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