Volume 13 Issue 3
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Article Navigation >  ORGAN TRANSPLANTATION  > 2022  >  13(3): 399-403
Pan Yipeng, Gao Nong, Li Wei, et al. Clinical application value of contrast-enhanced ultrasound in hepatic artery thrombosis after pediatric liver transplantation[J]. ORGAN TRANSPLANTATION, 2022, 13(3): 399-403. doi: 10.3969/j.issn.1674-7445.2022.03.018
Citation: Pan Yipeng, Gao Nong, Li Wei, et al. Clinical application value of contrast-enhanced ultrasound in hepatic artery thrombosis after pediatric liver transplantation[J]. ORGAN TRANSPLANTATION, 2022, 13(3): 399-403. doi: 10.3969/j.issn.1674-7445.2022.03.018
shu

Clinical application value of contrast-enhanced ultrasound in hepatic artery thrombosis after pediatric liver transplantation

doi: 10.3969/j.issn.1674-7445.2022.03.018

  • Department of Transplantation, the Second Affiliated Hospital of Hainan Medical University, Haikou 570100, China

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  • Corresponding author: Ren Xiuyun, Email: rforestcloud@sina.com
  • Received Date: 2022-01-29
    Available Online: 2022-04-29
  • Publish Date: 2022-05-15
    Abstract
  •   Objective  To investigate the clinical application value of contrast-enhanced ultrasound (CEUS) in hepatic artery thrombosis (HAT) after pediatric liver transplantation.  Methods  Clinical data of 126 pediatric recipients undergoing liver transplantation were retrospectively analyzed. The incidence of HAT after pediatric liver transplantation was summarized. Color Doppler ultrasound and CEUS manifestations of HAT were compared.  Results  According to color Doppler ultrasound, 17 cases were highly suspected with HAT. Nine cases were highly suspected with HAT by CEUS, who were subsequently confirmed by CT angiography (CTA) or surgery. CEUS manifestations of HAT showed that hepatic artery was not seen surrounding the portal vein during the arterial phase or even portal venous phase. Hepatocyte necrosis occurred in 4 patients with HAT, and no perfusion of intrahepatic contrast agent was observed on CEUS.  Conclusions  CEUS yields high clinical application value in the diagnosis of HAT after pediatric liver transplantation. It has significant advantages compared with traditional CTA, which could be widely applied in clinical practice.

     

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