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Hemodynamic Features of Doppler Ultrasonography in Patients With Portal Hypertension
Author(s) -
Zhang Li,
Duan Yun-You,
Li Jin-Mao,
Yin Ji-Kai
Publication year - 2007
Publication title -
journal of ultrasound in medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.574
H-Index - 91
eISSN - 1550-9613
pISSN - 0278-4297
DOI - 10.7863/jum.2007.26.12.1689
Subject(s) - medicine , portal hypertension , hemodynamics , postprandial , portal venous pressure , artery , cardiology , common hepatic artery , ultrasonography , splenic artery , radiology , nuclear medicine , cirrhosis , insulin
Objectives The purpose of this study was to investigate the relationship between a series of portal hemodynamic parameters obtained with Doppler ultrasonography and portal pressure measured directly from patients with portal hypertension (PHT). Methods Fifty‐seven patients with a clinical diagnosis of PHT who accepted surgical therapy were investigated. The portal pressure was measured directly intraoperatively. Relevant parameters were compared and measured, including the hepatic artery pulsatility index (HAPI), hepatic artery resistive index (HARI), splenic artery resistive index, splenic artery pulsatility index (SpAPI), congestion index (CI) of the portal vein, hepatic buffer index (HBI), liver vascular index (LVI), and PHT index (PHI). Results Doppler parameters for the postprandial HAPI, SpAPI, CI, LVI, HBI, and PHI were statistically different in patients with PHT and healthy control subjects ( P < 0.05). The portal pressure was significantly correlated with the HARI ( r = 0.699; P < .001), HAPI ( r = 0.582; P < .001), LVI ( r = −0.501; P = .003), HBI ( r = 0.441; P = .009), and Child‐Pugh scores ( r = 0.589; P = .044). Conclusions The HAPI, LVI, and HBI are indicative indices in patients with PHT, suggesting that color Doppler ultrasonography can be used as a noninvasive evaluation method for PHT degree. The changes in the HAPI, LVI, and HBI that accompany the increase in portal pressure can reflect hepatic resistance and hepatic artery buffer capacity accurately.