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.
Jalan
R
R
Liver Unit and Scottish Liver Transplantation Unit, Royal Infirmary of Edinburgh, Scotland, UK.
Newby
D E
DE
Olde Damink
S W
SW
Redhead
D N
DN
Hayes
P C
PC
Lee
A
A
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*