Journal of Ultrasound in Medicine, Vol 17, Issue 1 1-6, Copyright © 1998 by American Institute of Ultrasound in Medicine
Use of intraoperative ultrasonography during hepatic transplantation
D. L. Waldman, D. E. Lee, O. Bronsther and M. S. Orloff
Department of Radiology, University of Rochester Medical Center, New York 14642-8648, USA.
The aim of this study was to evaluate if intraoperative vascular
ultrasonography is of clinical value in the perioperative management of
hepatic transplant patients. Fifteen intraoperative ultrasonographic
examinations were performed on 13 patients (five female, eight male) during
transplantation. These patients had clinically suspected vascular
compromise. Among the 13 patients studied intraoperatively, five were
correctly diagnosed as having hemodynamically significant vascular
compromise. Of the intraoperative vascular sonographic examinations, the
results of 13 were in concordance with the surgical impression as to
whether further intervention was necessary or if the procedure could be
terminated. Intraoperative sonography demonstrates potential to be of aid
to the surgeon in recognition of vascular compromise.
