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《Radiologic Practice》 2008-01
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Correlation between Hepatic Artery Resistence Index and Biliary Complications after Liver Transplantation

LIU Jing-yun,WU Wen-zhi,HU Yuan-ping,et al.Department of Diagnostic Ultrasound,First Affiliated Hospital of Wenzhou Medical College,Zhejiang 325000,P.R.China  
Objective:To study the predictive value of hepatic artery resistance index (HARI) by color Doppler ultrasonography (CDUS) in the evaluation of biliary complications after orthotopic liver transplantation.Methods:107 patients after orthotopic liver transplantation were examined with CDUS flow imaging to observe the hemodynamic change of the hepatic artery vascular system.The HARI of each patient was categorized and analyzed.Results:33 of 107 patients suffered from biliary complications after sugery.Altogether there were 44 patients with low HARI,including HARI ≤0.5 at the first study,HARI ≤0.5 for 2 times in the subsequent follow-up study and HARI lower than the first study exceeded 0.3.Of these 44 patients,there were 30 patients suffered from biliary complications post-operatively.The incidence of biliary complications in patiens with low HARI was obviously increased (P0.01).Of the patients with normal HARI,the incidence of biliary complications was markedly decreased (P0.01).Yet,no statistical difference in the morbidity of biliary complications was existed between patients with high HARI and the whole group (P0.05).Conclusion:Biliary complication after liver transplantation was obviously relevant to low HARI.Biliary complications due to inadequate hepatic artery blood supply could be predicted by HARI measurement with CDUS.
【CateGory Index】: R657.3
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