Document Detail

Direct transhepatic assessment of hepatic vein pressure and direction of flow using a thin needle in patients with cirrhosis and Budd-Chiari syndrome. An effective alternative to hepatic vein catheterization.
MedLine Citation:
PMID:  6714568     Owner:  NLM     Status:  MEDLINE    
Portal pressure can be accurately measured transhepatically with a Chiba needle. Since 1980, we have used transhepatic hepatic vein pressures as our zero reference for transhepatic portal pressure measurements. To validate the latter technique, we performed hepatic vein catheterization and transhepatic hepatic vein puncture in 11 patients undergoing portal pressure measurement. Transhepatic hepatic vein puncture was simple, providing pressures as reproducible as those obtained by hepatic vein and inferior vena cava catheterization. These pressures were minimally higher than simultaneous free hepatic vein and inferior vena caval pressures, possibly reflecting the more proximal location of the small hepatic vein radicles often entered by this technique. Transhepatic hepatic vein puncture is an accurate way to determine hepatic vein pressure and, combined with transhepatic portal vein pressure measurement, completely obviates the need for venous catheterization for portal pressure determination. Transhepatic hepatic vein pressure was also measured in 3 patients with Budd-Chiari syndrome. In these patients, transhepatic hepatic vein pressure was elevated and equaled or exceeded portal vein pressure. Abnormal venous collaterals were identified in all patients. Transhepatic portal pressure studies are also an appropriate way to evaluate patients suspected of having hepatic outflow obstruction.
W G Rector; A G Redeker
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Gastroenterology     Volume:  86     ISSN:  0016-5085     ISO Abbreviation:  Gastroenterology     Publication Date:  1984 Jun 
Date Detail:
Created Date:  1984-06-06     Completed Date:  1984-06-06     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0374630     Medline TA:  Gastroenterology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1395-9     Citation Subset:  AIM; IM    
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MeSH Terms
Blood Pressure Determination / methods
Budd-Chiari Syndrome / physiopathology*
Hepatic Veins / physiopathology
Liver Circulation*
Liver Cirrhosis / physiopathology*
Portal System / physiopathology
Venous Pressure*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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