中文English
ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R
Issue 5
May  2017
Turn off MathJax
Article Contents

Evaluation of stent function after transjugular intrahepatic portosystemic shunt using color Doppler and contrast-enhanced ultrasound

DOI: 10.3969/j.issn.1001-5256.2017.05.036
  • Received Date: 2016-11-29
  • Published Date: 2017-05-20
  • At present, transjugular intrahepatic portosystemic shunt (TIPS) is an effective procedure widely used in the clinical treatment of portal hypertension.The blood stream in the portal vein can be directly shunted into the hepatic vein through the inserted stent, which helps to reduce portal vein pressure.TIPS provides treatment opportunities for the patients with advanced portal hypertension complicated by intractable ascites and gastroesophageal variceal bleeding and those who are waiting for transplantation or cannot tolerate surgery.The key to success of TIPS is to maintain stent patency after placement, and therefore, post-TIPS monitoring is of vital importance.As a noninvasive, cheap, practical, and repeatable procedure, ultrasound has an important value in post-TIPS monitoring.This article summarizes the role of color Doppler and contrast-enhanced ultrasound in evaluating stent function after TIPS.

     

  • loading
  • [1]ROSSLE M.TIPS:25 years later[J].J Hepatol, 2013, 59 (5) :1081-1093.
    [2]CURA M, CURA A, SURI R, et al.Causes of TIPS dysfunction[J].AJR Am J Roentgenol, 2008, 191 (6) :1751-1757.
    [3]LIANG YP, TANG YM, YANG JH, et al.Transjugular intrahepatic portosystemic shunt dysfunction[J].World Chin J Dig, 2013, 21 (4) :336-340. (in Chinese) 梁艳平, 唐映梅, 杨晋辉, 等.TIPS术后支架功能障碍的研究现状[J].世界华人消化杂志, 2013, 21 (4) :336-340.
    [4]HE ZA, LAI JQ.Application of ultrasound in follow-up after transjugular intrahepatic portosystemic shunt[J].Chin J Med Offic, 2014, 42 (7) :763-764. (in Chinese) 何志安, 赖江琼.超声在TIPS术后随访中的应用[J].临床军医杂志, 2014, 42 (7) :763-764.
    [5]HUANG Z, SONG J, LI X, et al.Clinical effect of transjugular intrahepatic portosystemic shunt in treatment of patients with cirrhotic portal hypertension and its influence on hemodynamics[J].Chin JGerontol, 2014, 34 (4) :888-889. (in Chinese) 黄智, 宋杰, 李兴, 等.经颈静脉肝内门体分流术治疗肝硬化门静脉高压患者的疗效及对血流动力学的影响[J].中国老年学杂志, 2014, 34 (4) :888-889.
    [6]WU XB, DENG D, LI SS, et al.Significance of observation on changes of blood flow through portal vein after TIPSS by color ultrasonograph[J].Med J Natl Defending Forces Southwest China, 2006, 16 (1) :53-54. (in Chinese) 吴晓波, 邓旦, 李树森, 等.彩超观测TIPSS术后门静脉血流方向改变的价值[J].西南国防医药, 2006, 16 (1) :53-54.
    [7]LIU J, LI T, WANG WW.Doppler ultrasonography assessment after transjugular intrahepatic portosystemic stent shunt[J].J Chin Clin Med Imag, 2012, 23 (8) :591-593. (in Chinese) 刘健, 李佟, 王文伟.TIPSS术后多普勒超声评价[J].中国临床医学影像杂志, 2012, 23 (8) :591-593.
    [8]RICCI P, CANTISANI V, LOMBARDI V, et al.Is color-Doppler US a reliable method in the follow-up of transjugular intrahepatic portosystemic shunt (TIPS) ?[J].J Ultrasound, 2007, 10 (1) :22-27.
    [9]MORAN DE, BENNETT AE, SHEIMAN RG.Diagnostic radiology of transjugular intrahepatic portosystemic shunts[J].Semin Ultrasound CT MR, 2013, 34 (4) :352-364.
    [10]HAN H, YANG J, ZHUGE YZ, et al.Diagnostic value of color Doppler ultrasonography in detecting transjugnlar intrahepatic portosystemic shunt dysfunction[J].J Ultras Clin Med, 2015, 17 (8) :522-525. (in Chinese) 韩浩, 杨建, 诸葛宇征, 等.彩色多普勒超声对经颈静脉肝内门体分流术后支架功能障碍的诊断价值[J].临床超声医学杂志, 2015, 17 (8) :522-525.
    [11]KANTERMAN RY, DARCY MD, MIDDLETON WD, et al.Doppler sonography findings associated with transjugular intrahepatic portosystemic shunt malfunction[J].AJR Am J Roentgenol, 1997, 168 (2) :467-472.
    [12]FELDSTEIN VA, PATEL MD, LABERGE JM.Transjugular intrahepatic portosystemic shunts:accuracy of Doppler US in determination of patency and detection of stenoses[J].Radiology, 1996, 201 (1) :141-147.
    [13]ZIZKA J, ELIS P, KRAJINA A, et al.Value of Doppler sonography in revealing transjugular intrahepatic portosystemic shunt malfunction:a5-year experience in 216 patients[J].AJR Am J Roentgenol, 2012, 175 (1) :141-148.
    [14]HARROD-KIM P, WALDMAN DL.Abnormal portal venous flow at sonography predicts reduced survival after transjugular intrahepatic portosystemic shunt creation[J].J Vasc Interv Radiol, 2005, 16 (11) :1459-1464.
    [15]ABRALDES JG, GILABERT R, TURNES J, et al.Utility of color Doppler ultrasonography predicting tips dysfunction[J].Am J Gastroenterol, 2005, 100 (12) :2696-2701.
    [16]VAN HA, THIJS M, BIELEN D, et al.Sonographic evaluation of transjugular intrahepatic portosystemic shunt[J].JBR-BTR, 2013, 96 (96) :275-281.
    [17]BENITO A, BILBAO J, NDEZ TH, et al.Doppler ultrasound for TIPS:does it work?[J].Abdom Imaging, 2003, 29 (1) :45-52.
    [18]BODNER G, PEER S, KRECZY A, et al.Results of doppler sonography in normally functioning transjugular portosystemic shunts[J].Ultraschall Med, 2000, 21 (4) :160-164.
    [19]MARCELINO ASZ, CHAMMAS MC, OLIVEIRA IRSD, et al.Doppler flowmeter parameters for evaluation of transjugular intrahepatic porto-systemic shunts (TIPS) patency:prospective study[J].Radiol Bras, 2004, 37 (6) :391-396.
    [20]JAKOBSEN J.Ultrasound contrast agents:clinical applications[J].Eur Radiol, 2001, 11 (8) :1329-1337.
    [21] XU D, DENG D, LIAO MS, et al.Evaluation on TIPSS stent tube functions by contrast-enhanced ultrasound[J].Tech Acous, 2013, 32 (4) :364-366. (in Chinese) 徐丹, 邓旦, 廖明松, 等.超声造影评价经颈静脉肝内门体分流术后支架管功能[J].声学技术, 2013, 32 (4) :364-366.
    [22]LI JW, LING WW, YANG LL, et al.Application value of contrast-enhanced ultrasonography in monitoring the stent patency after transjugular intrahepatic portosystemic shunt[J/CD].Chin J Digest Med Imageol:Electronic Edition, 2014, 4 (1) :5-8. (in Chinese) 李加伍, 凌文武, 杨蕗璐, 等.超声造影在经颈静脉肝内门体支架分流术后支架管通畅性监测中的应用价值[J/CD].中华消化病与影像杂志:电子版, 2014, 4 (1) :5-8.
    [23]WACHSBERG RH.Doppler ultrasound evaluation of transjugular intrahepatic portosystemic shunt function:pitfalls and artifacts[J].Ultrasound Q, 2003, 19 (3) :139-148.
    [24]UGGOWITZER MM, KUGLER C, MACHAN L, et al.Value of echo-enhanced Doppler sonography in evaluation of transjugular intrahepatic portosystemic shunts[J].AJR Am J Roentgenol, 2013, 170 (4) :1041-1046.
    [25]DENG D, LIAO MS, WU XB, et al.Role of contrast enhanced ultrasonography in evaluating transjular intrahepatic portosystem shunt malfunction[J].Chin J ultrasonogr, 2007, 16 (9) :767-769. (in Chinese) 邓旦, 廖明松, 吴晓波, 等.超声造影在评价经颈静脉肝内门体分流术后支架管功能障碍中的应用[J].中华超声影像学杂志, 2007, 16 (9) :767-769.
    [26]MARSOT J, GUIBAL A, FICARELLI S, et al.Value of real-time contrast-enhanced ultrasonography (CEUS) to detect potential complication of transjugular intrahepatic porto-systemic shunt (TIPS) [C].Radiological Society of North America 2008 Scientific Assembly and Meeting, 2008, 11 (3) :208-219.
    [27]ALBRECHT T, BLOMLEY MJ, COSGROVE DO, et al.Non-invasive diagnosis of hepatic cirrhosis by transit-time analysis of an ultrasound contrast agent[J].Lancet, 1999, 353 (9164) :1579-1583.
    [28]MARUYAMA H, SHIHA G, YOKOSUKA O, et al.Non-invasive assessment of portal hypertension and liver fibrosis using contrastenhanced ultrasonography[J].Hepatol Int, 2016, 29 (2) :1-10.
    [29]MA YH, TANG SS, LIU Z, et al.Contrast-enhanced Ultrasonography in evaluation of portal hypertension[J].Chin J Med Imag, 2016, 24 (3) :195-198. (in Chinese) 马莹贺, 唐少珊, 刘站, 等.超声造影评价门静脉高压症[J].中国医学影像学杂志, 2016, 24 (3) :195-198.
    [30]HAN L, LI Z, SHEN YM, et al.Clinical application of contrastenhanced ultrasound in quantitative analysis of liver cirrhosis[J].Shaanxi Med J, 2015, 44 (3) :331-333. (in Chinese) 韩磊, 李莘, 沈亚梅, 等.超声造影在肝硬化定量分析中临床应用研究[J].陕西医学杂志, 2015, 44 (3) :331-333.
    [31]FAN MH, MAO PF, HUANG PT, et al.Diagnostic efficiency of the time-intensity curve in contrast-enhanced ultrasonography in patients with compensated cirrhosis[J].J Med Res, 2015, 44 (8) :79-82. (in Chinese) 范梅花, 毛平芬, 黄品同, 等.超声造影时间强度曲线无创性定量分析代偿期肝硬化的诊断效能[J].医学研究杂志, 2015, 44 (8) :79-82.
    [32]LIU D, WANG JR, QIAN LX, et al.Feasibility of evaluating cirrhotic portal hypertension by contrast-enhanced ultrasound[J/CD].Chin J Med Ultrasound:Electronic Edition, 2010, 7 (9) :28-30. (in Chinese) 刘冬, 王金锐, 钱林学, 等.超声造影评价肝硬化门静脉高压的可行性研究[J/CD].中华医学超声杂志:电子版, 2010, 7 (9) :28-30.
    [33]MICOL C, MARSOT J, BOUBLAY N, et al.Contrast-enhanced ultrasound:a new method for TIPS follow-up[J].Abdom Imaging, 2012, 37 (2) :252-260.
    [34]KIM MY, SUK KT, BAIK SK, et al.Hepatic vein arrival time as assessed by contrast-enhanced ultrasonography is useful for the assessment of portal hypertension in compensated cirrhosis[J].Hepatology, 2012, 56 (3) :1053-1062.
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Article Metrics

    Article views (2547) PDF downloads(473) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return