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Acute changes in cerebral blood flow and metabolism during portasystemic shunting
Author(s) -
Jalan Rajiv,
Newby David E.,
Damink Steven W.M. Olde,
Redhead Doris N.,
Hayes Peter C.,
Lee Alistair
Publication year - 2001
Publication title -
liver transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.814
H-Index - 150
eISSN - 1527-6473
pISSN - 1527-6465
DOI - 10.1053/jlts.2001.22181
Subject(s) - medicine , shunting , cirrhosis , cerebral blood flow , shunt (medical) , cerebral edema , blood flow , cardiology , radiology , surgery
This report describes the instantaneous changes in cerebral blood flow (CBF), determined by intravascular ultrasound and Doppler, in a patient with cirrhosis undergoing placement of a transjugular intrahepatic stent‐shunt for uncontrolled variceal bleeding. Acute changes in CBF were observed during and after portasystemic shunting, which culminated in cerebral edema and cerebral herniation.