Use of intraoperative ultrasonography during hepatic transplantation.
The aim of this study was to evaluate if intraoperative vascular ultrasonography is of clinical value in the perioperative management of hepatic transplant patients. Fifteen intraoperative ultrasonographic examinations were performed on 13 patients (five female, eight male) during transplantation. These patients had clinically suspected vascular compromise. Among the 13 patients studied intraoperatively, five were correctly diagnosed as having hemodynamically significant vascular compromise. Of the intraoperative vascular sonographic examinations, the results of 13 were in concordance with the surgical impression as to whether further intervention was necessary or if the procedure could be terminated. Intraoperative sonography demonstrates potential to be of aid to the surgeon in recognition of vascular compromise.
Waldman
D L
DL
Department of Radiology, University of Rochester Medical Center, New York 14642-8648, USA.
Lee
D E
DE
Bronsther
O
O
Orloff
M S
MS
D000328:Adult; D003251:Constriction, Pathologic; D005260:Female; D006499:Hepatic Artery / Q000000981:diagnostic imaging* / Q000473:pathology / Q000502:physiology; D006801:Humans; D007432:Intraoperative Period; D008099:Liver / Q000098:blood supply / Q000000981:diagnostic imaging; D016031:Liver Transplantation / Q000000981:diagnostic imaging*; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D011169:Portal Vein / Q000000981:diagnostic imaging; D013927:Thrombosis / Q000000981:diagnostic imaging; D018084:Ultrasonography, Interventional; D014654:Vascular Patency; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging