Application of Multimodal Ultrasound in Post-operative Monitoring of Transplanted Livers by Donors after the Brain Death

Yan SHEN; Yongfeng LI; Chunhua XIAO; Hong LI; Wei YANG; Shengning ZHANG; Yanqiong LV; Wandong YANG; Shilan. DING

doi:10.12259/j.issn.2095-610X.S20220917

Volume 43 Issue 9

Sep. 2022

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Article Navigation > Journal of Kunming Medical University > 2022 > 43(9): 90-95

Yan SHEN, Yongfeng LI, Chunhua XIAO, Hong LI, Wei YANG, Shengning ZHANG, Yanqiong LV, Wandong YANG, Shilan. DING. Application of Multimodal Ultrasound in Post-operative Monitoring of Transplanted Livers by Donors after the Brain Death[J]. Journal of Kunming Medical University, 2022, 43(9): 90-95. doi: 10.12259/j.issn.2095-610X.S20220917

Citation:

Yan SHEN, Yongfeng LI, Chunhua XIAO, Hong LI, Wei YANG, Shengning ZHANG, Yanqiong LV, Wandong YANG, Shilan. DING. Application of Multimodal Ultrasound in Post-operative Monitoring of Transplanted Livers by Donors after the Brain Death[J]. Journal of Kunming Medical University, 2022, 43(9): 90-95. doi: 10.12259/j.issn.2095-610X.S20220917

Citation:

Yan SHEN, Yongfeng LI, Chunhua XIAO, Hong LI, Wei YANG, Shengning ZHANG, Yanqiong LV, Wandong YANG, Shilan. DING. Application of Multimodal Ultrasound in Post-operative Monitoring of Transplanted Livers by Donors after the Brain Death[J]. Journal of Kunming Medical University, 2022, 43(9): 90-95. doi: 10.12259/j.issn.2095-610X.S20220917

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Application of Multimodal Ultrasound in Post-operative Monitoring of Transplanted Livers by Donors after the Brain Death

doi: 10.12259/j.issn.2095-610X.S20220917

Dept. of Ultrasonography，The 1st People’s Hospital of Kunming，Kunming Yunnan 650224，China

Received Date: 2022-06-04
Available Online: 2022-09-07
Publish Date: 2022-09-29

Abstract

Abstract

Objective To explore the application value of multi-mode ultrasound in post-liver transplantation monitoring by combining two-dimensional gray scale ultrasound, CDFI, Spectral Doppler and CEUS in gray scale, blood flow and microperfusion examination after the liver transplantation. Methods In this study, 57 patients with liver transplants donated by those after brain death （DBD） in our hospital from January 2018 to December 2021 were selected. All the patients underwent the real-time, dynamic and continuous monitoring by conventional ultrasound after the liver transplantation. Results There were 7 cases of vascular complications, including 2 cases of hepatic artery stenosis （3.5%）, 2 cases of portal vein thrombosis （3.5%）, 1 case of inferior vena cava thrombosis （1.2%）, and 2 cases of inferior vena cava stenosis （3.5%）. There were 4 biliary complications （7.0%）, including 3 biliary stenosis （5.2%） and 1 choleoma （1.2%）, which were clinically confirmed. The common complications were pleural and abdominal effusion in 57 cases （100%）, intrahepatic and perihepatic hematoma in 31 cases （54.3%）. False aneurysm of hepatic artery was missed by multimodal ultrasound in 1 case （1.2%）. Conclusion As the first choice after the liver transplantation, multimodal ultrasound can accurately diagnose the complications after the liver transplantation.
- Liver transplantation,
- DBD,
- Multimodal ultrasound,
- CEUS

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References(12)

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