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Peak systolic velocity at arterial Doppler ultrasound in pediatric liver transplantation: A predictor of acute severe complications

التفاصيل البيبلوغرافية
العنوان: Peak systolic velocity at arterial Doppler ultrasound in pediatric liver transplantation: A predictor of acute severe complications
المؤلفون: Fasano, María Victoria, Antón Jiménez, Alba, Pérez Lafuente, Mercedes, Ortega, Juan, Escudero-Fernandez, Jose Miguel, Hidalgo Llompart, Ernest, Coma, Ana, Molino Gahete, José Andrés, quintero, jesus, MERCADAL-HALLY, MARIA MARGARET, Charco, Ramon
المساهمون: Institut Català de la Salut, Coma A, Escudero-Fernandez MM Servei de Radiologia Pediàtrica, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Fasano MV Centro de Matemática de La Plata (CMaLP), Facultad de Ciencias Exactas, Universidad Nacional de La Plata, Spain. Anton-Jimenez A Servei de Radiologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Molino JA Servei de Cirurgia Pediàtrica, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Quintero J, Mercadal-Hally MM Unitat de Trasplantament de Fetge, Servei d’Hepatologia Pediàtrica, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Perez M Servei de Radiologia Intervencionista, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Ortega J Unitat de Cures Intensives Pediàtriques, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Hidalgo E, Charco R Servei de Cirurgia Hepatobiliopancreàtica i Trasplantaments, Vall d’Hebron Hospital Universitari, Barcelona, Spain, Vall d'Hebron Barcelona Hospital Campus
المصدر: Scientia
بيانات النشر: Elsevier
سنة النشر: 2024
مصطلحات موضوعية: Ecografia Doppler, Fetge - Trasplantació - Complicacions, Oclusions arterials, Infants, ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Diagnosis::Diagnostic Techniques and Procedures::Diagnostic Imaging::Ultrasonography::Ultrasonography, Doppler, DISEASES::Cardiovascular Diseases::Vascular Diseases::Arterial Occlusive Diseases, AND EQUIPMENT::Surgical Procedures, Operative::Digestive System Surgical Procedures::Surgical Procedures, Operative::Surgical Procedures, Operative::Liver Transplantation, Other subheadings::Other subheadings::Other subheadings::/adverse effects, NAMED GROUPS::Persons::Age Groups::Child, TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::diagnóstico::técnicas y procedimientos diagnósticos::diagnóstico por imagen::ecografía::ecografía Doppler, ENFERMEDADES::enfermedades cardiovasculares::enfermedades vasculares::arteriopatías oclusivas, DIAGNÓSTICOS Y TERAPÉUTICOS::intervenciones quirúrgicas::procedimientos quirúrgicos del sistema digestivo::intervenciones quirúrgicas::intervenciones quirúrgicas::trasplante de hígado, Otros calificadores::Otros calificadores::Otros calificadores::/efectos adversos, DENOMINACIONES DE GRUPOS::personas::Grupos de Edad::niño
الوصف: Pediatria; Ecografia Doppler; Velocitat sistòlica màxima ; Pediatric; Doppler ultrasound; Peak systolic velocity ; Pediatría; Ecografía Doppler; Velocidad sistólica máxima ; The diagnosis of arterial complications in children after Liver Transplantation (LT) urges prompt diagnosis and treatment. This study aims to determine whether hepatic artery Doppler Ultrasound (DUS) parameters can predict arterial complications in the immediate period after LT in children. A retrospective review of the pediatric liver database at our tertiary-care pediatric hospital was performed. The study included 70 pediatric patients who underwent a liver transplantation from 2016 to 2021. Clinical, laboratory and Doppler findings were recorded daily the first 5 days after transplantation, with special attention given to post-anastomotic Peak Systolic Velocity (PSV) and Resistive Index (RI). Patients with hepatic artery complications, including acute thrombosis and stenosis, had lower PSV values after surgery compared to the group with non-complications, with a statistical significance (< 0.001). Receiver operating characteristic (ROC) curve analysis determined an optimal cut-off value of PSV less than 29 cm/s the 2nd day after LT, 25.2 cm/s the 3rd day, 28.5 cm/s the 4th day and 29.4 cm/s the 5th day, to discriminate children with and without hepatic arterial complications. Notably, these cut-off values are lower than those proposed in adults. Optimal PSV cutt-off values in children in the immediate period after LT are presented. Knowledge of these cutt-off values improves the interpretation of DUS measurements and thereby, may help to accurately guide the clinical management.
نوع الوثيقة: article in journal/newspaper
وصف الملف: application/pdf
اللغة: English
تدمد: 2666-9676
العلاقة: Journal of Liver Transplantation;14; https://doi.org/10.1016/j.liver.2024.100218Test; Coma A, Fasano MV, Anton-Jimenez A, Molino JA, Quintero J, Mercadal-Hally MM, et al. Peak systolic velocity at arterial Doppler ultrasound in pediatric liver transplantation: A predictor of acute severe complications. J Liver Transplant. 2024 May;14:100218.; https://hdl.handle.net/11351/11349Test
DOI: 10.1016/j.liver.2024.100218
الإتاحة: https://doi.org/10.1016/j.liver.2024.100218Test
https://hdl.handle.net/11351/11349Test
حقوق: Attribution-NonCommercial-NoDerivatives 4.0 International ; http://creativecommons.org/licenses/by-nc-nd/4.0Test/ ; info:eu-repo/semantics/openAccess
رقم الانضمام: edsbas.2A9A73C5
قاعدة البيانات: BASE
الوصف
تدمد:26669676
DOI:10.1016/j.liver.2024.100218