Document Detail


Helical CT angiography of transjugular intrahepatic portosystemic shunts.
MedLine Citation:
PMID:  10036709     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Shunt dysfunction due to draining hepatic vein and/or stent stenosis is a common long-term complication of transjugular intrahepatic portosystemic shunts (TIPS). Currently, Doppler sonography is the preferred modality for routine screening of TIPS for the detection of these complications. However, this method is time-consuming, highly operator-dependent, and difficult to perform because of the anatomic attributes of the cirrhotic liver. The use of helical CT angiography (HCTA) for imaging TIPS has been recently described. HCTA of TIPS is performed after a rapid i.v. injection of a bolus of low osmolality contrast medium, followed by helical data acquisition of the region of the shunt using thin sections. The data are then reprocessed a overlapping intervals and various reformations are obtained. Preliminary reports show the sensitivity and specificity of the helical CT angiography to be comparable with Doppler sonography.
Authors:
S Chopra; K N Chintapalli; G D Dodd
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Seminars in ultrasound, CT, and MR     Volume:  20     ISSN:  0887-2171     ISO Abbreviation:  Semin. Ultrasound CT MR     Publication Date:  1999 Feb 
Date Detail:
Created Date:  1999-05-27     Completed Date:  1999-05-27     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8504689     Medline TA:  Semin Ultrasound CT MR     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  25-35     Citation Subset:  IM    
Affiliation:
Department of Radiology, University of Texas Health Science Center at San Antonio 78284-7800, USA.
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MeSH Terms
Descriptor/Qualifier:
Angiography
Contrast Media
Hepatic Veins / radiography*
Humans
Image Processing, Computer-Assisted
Liver Cirrhosis / surgery*
Portasystemic Shunt, Transjugular Intrahepatic / adverse effects*
Tomography, X-Ray Computed*
Chemical
Reg. No./Substance:
0/Contrast Media

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


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