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Journal of Ultrasound in Medicine, Vol 11, Issue 6 269-273, Copyright © 1992 by American Institute of Ultrasound in Medicine

JOURNAL ARTICLE

Clinical utility of pulsed Doppler in the detection of arterioportal shunting in patients with hepatocellular carcinoma

Z. Y. Lin, W. Y. Chang, L. Y. Wang, W. P. Su, S. N. Lu, S. C. Chen, W. L. Chuang, M. Y. Hsieh and J. F. Tsai
Department of Internal Medicine, Kaohsiung Medical College Hospital, Taiwan, Republic of China.

Ninety-seven patients with hepatocellular carcinoma had duplex scanning from the patent or residual portal lumen and comparative angiography. Duplex ultrasonography identified five of nine patients with angiographic evidence of arterioportal shunting. Furthermore, Doppler results indicated the presence of the shunt in one patient without angiographic evidence. Duplex scanning from the portal lumen may be useful in the detection of arterioportal shunting. This procedure can be used to evaluate the hemodynamic change of the recipient portal vein under natural physiologic conditions. However, small shunts without hepatofugal portal blood cannot be detected by this procedure.


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M. Bolognesi, D. Sacerdoti, G. Bombonato, M. Chiesura-Corona, C. Merkel, and A. Gatta
Arterioportal Fistulas in Patients with Liver Cirrhosis: Usefulness of Color Doppler US for Screening
Radiology, September 1, 2000; 216(3): 738 - 743.
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Copyright © 1992 by the American Institute of Ultrasound in Medicine.