1. Evaluation of Pediatric Liver Transplantation-Related Artery Complications Using Intra-Operative Multi-Parameter Ultrasonography
- Author
-
Xiuyun Ren, Junhui Guan, Jie Tang, Hong Niu, and Nong Gao
- Subjects
Male ,medicine.medical_specialty ,medicine.medical_treatment ,Hemodynamics ,030230 surgery ,Anastomosis ,Liver transplantation ,Pediatrics ,Stoma ,03 medical and health sciences ,Hepatic Artery ,Postoperative Complications ,0302 clinical medicine ,Clinical Research ,medicine ,Humans ,030212 general & internal medicine ,Child ,Ultrasonography ,business.industry ,Liver Diseases ,Infant, Newborn ,Infant ,General Medicine ,Blood flow ,Liver Transplantation ,medicine.anatomical_structure ,Child, Preschool ,Female ,Radiology ,business ,Complication ,Artery - Abstract
BACKGROUND This article discusses the value of using multi-parameter evaluation of intra-operative ultrasonography in evaluating pediatric liver transplantation-related arterial complications. MATERIAL AND METHODS Sixty-eight children receiving a liver transplant underwent intraoperative ultrasonography for monitoring of artery hemodynamics. The ultrasonic measurement parameters included the diameters of the hepatic artery (HA) of the donor and anastomotic stoma, peak systolic velocity (PSV), resistance index (RI), acceleration time (SAT), and blood flow volume. RESULTS After being treated immediately using surgery or other means, blood flow returned to normal in 8 cases, and did not in 3 cases, of whom 2 experienced postoperative HAT. There was a significant difference in HA diameter of the donor, anastomotic stoma diameter, PSV, RI, SAT, and blood flow volume before and after treatment of the donor in the complications group. Postoperative complications occurred in 7 of 68 recipients, including the 2 cases exhibiting complications during the surgery (complication group) and 5 without complications during the surgery (no complication group). There was a statistically significant difference (P
- Published
- 2016
- Full Text
- View/download PDF