Acute changes in cerebral blood flow and metabolism during portasystemic shunting.
This report describes the instantaneous changes in cerebral blood flow (CBF), determined by intravascular ultrasound and Doppler, in a patient with cirrhosis undergoing placement of a transjugular intrahepatic stent-shunt for uncontrolled variceal bleeding. Acute changes in CBF were observed during and after portasystemic shunting, which culminated in cerebral edema and cerebral herniation.
Liver Unit and Scottish Liver Transplantation Unit, Royal Infirmary of Edinburgh, Scotland, UK.
R
R
Jalan
D E
DE
Newby
S W
SW
Olde Damink
D N
DN
Redhead
P C
PC
Hayes
A
A
Lee
D001921:Brain / Q000098:blood supply*; D001929:Brain Edema / Q000209:etiology; D017809:Fatal Outcome; D006439:Hemodynamics; D006470:Hemorrhage / Q000601:surgery*; D006801:Humans; D008099:Liver / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D019168:Portasystemic Shunt, Transjugular Intrahepatic; D012039:Regional Blood Flow; D018608:Ultrasonography, Doppler; D018084:Ultrasonography, Interventional; D014648:Varicose Veins / Q000601:surgery*