
Correlation of pressure gradient in three hepatic veins with portal pressure gradient
Author(s) -
Haoyu Wang,
Qingkun Song,
Zhendong Yue,
Lei Wang,
Zhaoqing Fan,
Yifan Wu,
Cheng-Bin Dong,
Yu Zhang,
Ming-Ming Meng,
Ke Zhang,
Jiang Li,
Huiguo Ding,
Yue-Ning Zhang,
Yongping Yang,
Fuquan Liu
Publication year - 2022
Publication title -
world journal of clinical cases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.368
H-Index - 10
ISSN - 2307-8960
DOI - 10.12998/wjcc.v10.i14.4460
Subject(s) - medicine , portal venous pressure , portal hypertension , transjugular intrahepatic portosystemic shunt , splanchnic , right gastric vein , vein , fibrous capsule of glisson , portosystemic shunt , gastroenterology , pressure gradient , cirrhosis , cardiology , hemodynamics , physics , mechanics
The liver is one of the most important organs in the human body, with functions such as detoxification, digestion, and blood coagulation. In terms of vascular anatomy, the liver is divided into the left and the right liver by the main portal vein, and there are three hepatic efferent veins (right, middle, and left) and two portal branches. Patients with impaired liver function have increased intrahepatic vascular resistance and splanchnic vasodilation, which may lead to an increase in the portal pressure gradient (PPG) and cause portal hypertension (PHT). In order to measure the increased pressure gradient of portal vein, the hepatic venous pressure gradient (HVPG) can be measured to reflect it in clinical practice. The accuracy of PPG measurements is directly related to patient prognosis.