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Transjugular intravascular ultrasound for the evaluation of hepatic vasculature and parenchyma in patients with chronic liver disease

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cris.virtualsource.author-orcidb2f5fd88-17d6-4a2f-9ff2-4bfbf721be02
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dc.contributor.authorDe Gottardi, Andrea
dc.contributor.authorKeller, Pierre-Frédéric
dc.contributor.authorHadengue, Antoine
dc.contributor.authorGiostra, Emile
dc.contributor.authorSpahr, Laurent
dc.date.accessioned2024-10-11T09:31:22Z
dc.date.available2024-10-11T09:31:22Z
dc.date.issued2012
dc.description.abstractBackground The evaluation of the hepatic parenchyma in patients with chronic liver disease is important to assess the extension, localization and relationship with adjacent anatomical structures of possible lesions. This is usually performed with conventional abdominal ultrasound, CT-scan or magnetic resonance imaging. In this context, the feasibility and the safety of intravascular ultrasound in the liver have not been assessed yet. Methods We tested the safety and performance of an intracardiac echography (ICE) catheter applied by a transjugular approach into the hepatic veins in patients with chronic liver disease undergoing hepatic hemodynamic measurements. Results Five patients were enrolled in this pilot study. The insertion of the ICE catheter was possible into the right and middle, but not into the left hepatic vein. The position of the ICE was followed using fluoroscopy and external conventional ultrasound. Accurate imaging of focal hepatic parenchymal lesions, Doppler ultrasound of surrounding blood vessels and assessment of liver surface and ascites were achieved without complications. Conclusions This study demonstrated that a diagnostic approach using an ICE device inserted in the hepatic veins is feasible, safe and well tolerated. However, it remains for the moment only an experimental investigative tool. Whether ICE adds further information regarding parenchymal lesions and associated vascular alterations as compared to other techniques, needs additional investigation.
dc.description.sponsorshipUniversitätsklinik für Viszerale Chirurgie und Medizin, Hepatologie
dc.identifier.doi10.7892/boris.8202
dc.identifier.pmid22284050
dc.identifier.publisherDOI10.1186/1756-0500-5-77
dc.identifier.urihttps://boris-portal.unibe.ch/handle/20.500.12422/78629
dc.language.isoen
dc.publisherBiomed Central
dc.publisher.placeLondon
dc.relation.ispartofBMC research notes
dc.relation.issn1756-0500
dc.relation.organizationDCD5A442BBC5E17DE0405C82790C4DE2
dc.titleTransjugular intravascular ultrasound for the evaluation of hepatic vasculature and parenchyma in patients with chronic liver disease
dc.typearticle
dspace.entity.typePublication
dspace.file.typetext
oaire.citation.startPage77
oaire.citation.volume5
oairecerif.author.affiliationUniversitätsklinik für Viszerale Chirurgie und Medizin, Hepatologie
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unibe.description.ispublishedpub
unibe.eprints.legacyId8202
unibe.journal.abbrevTitleBMC Res Notes
unibe.refereedTRUE
unibe.subtype.articlejournal

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