Dynamic computed tomography and pulsed Doppler ultrasonography in the evaluation of splenorenal shunt patency. J Comput Assist Tomogr 1983 Feb;7(1):106-12
Date
02/01/1983Pubmed ID
6826828DOI
10.1097/00004728-198302000-00019Scopus ID
2-s2.0-0020679040 (requires institutional sign-in at Scopus site) 15 CitationsAbstract
Dynamic computed tomography (CT) and real-time/pulsed Doppler ultrasonography were performed in 13 patients following a distal end-to-side splenorenal shunt (Warren procedure). The results were correlated with angiography. The anastomotic site was demonstrated by CT in all patients. Coincident enhancement of the distal splenic vein and left renal vein as demonstrated by dynamic CT was an accurate predictor of shunt patency. Ultrasound studies were performed using a transsplenic coronal imaging approach. Although the proximal splenic vein and left renal vein could be identified, it was not possible to directly evaluate the anastomotic site in any patients. Dynamic CT evaluation of splenorenal shunts may be a useful technique for monitoring shunt patency during long term follow-up and for evaluating patients who later rebleed.
Author List
Foley WD, Gleysteen JJ, Lawson TL, Berland LL, Smith DF, Thorsen MK, Unger GFMESH terms used to index this publication - Major topics in bold
AdultEsophageal and Gastric Varices
Female
Follow-Up Studies
Humans
Male
Middle Aged
Portasystemic Shunt, Surgical
Postoperative Complications
Regional Blood Flow
Renal Veins
Splenic Artery
Splenic Vein
Splenorenal Shunt, Surgical
Thrombosis
Tomography, X-Ray Computed
Ultrasonography
