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Journal of Korean Society of Ultrasound in Medicine 2001 ; 20 (1) : p.15 -21

Evaluation of Early Vascular Complications after Liver Transplantation: Usefulness of Power Doppler US with a Microbubble Contrast Agent - Preliminary Results
Dongil Choi, M.D. Hyo Keun Lim, M.D., Seung Hoon Kim, M.D., Jae Min Cho, M.D., Ji Yeon Lee, M.D., Won Jae Lee, M.D., Jae Hoon Lim, M.D., Yong-Seon Pyeun, M.D.
Departments of Radiology and General Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine
PURPOSE : To evaluate the usefulness of power Doppler ultrasonography (PDUS) with a mi-crobubble contrast agent in assessing the early vascular complications after liver transplanta-tion (LT). MATERIALS and METHODS : In 15 patients with orthotopic LT (n = 12) and living-related donor LT (n = 3), PDUS examinations, before and after intravenous injection of a microbubble contrast agent, (Levovist Ⓡ ; Schering AG, Berlin, Germany) were performed one-day after the LT. We compared the results of unenhanced PDUS with those of contrast-enhanced PDUS in terms of depicting the complications and conspicuity of the lesions. RESULTS : In three (20%) of 15 patients, flow signal of hepatic artery was not detected on unen-hanced PDUS, while contrast-enhanced PDUS showed flow signals of the hepatic artery in all patients. Both unenhanced and contrast-enhanced PDUS showed portal vein thromboses in two (13%) of 15 patients, but conspicuity of portal vein thromboses was better appreciated on contrast-enhanced PDUS. CONCLUSION : Compared with unenhanced PDUS, contrast-enhanced PDUS showed better detec-tion of hepatic arterial flow and increased conspicuity of portal vein thrombosis one-day after LT. Our preliminary data suggest that contrast-enhanced PDUS can be a promising noninva-sive technique in assessing the early vascular complications after LT.
Keyword : Liver, US; Hepatic arteries, US; Ultrasound (US), contrast media; Ultrasound (US), power Doppler studies; Liver, transplantation
pdf파일 : K20200015.pdf
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