Book chapter
How to do Endoscopic Ultrasound‐guided Portal Pressure Gradient Measurement
Atlas of Endoscopic Ultrasonography, pp.194-196
John Wiley & Sons, Ltd
01/03/2022
DOI: 10.1002/9781119522997.ch40
Abstract
Portal hypertension (PH) is a serious adverse event of liver cirrhosis. Portal venous pressure (PVP) accurately reflects the degree of PH and is the single best prognostic indicator in liver disease. The evaluation of PVP had been performed by an indirect measurement of the hepatic venous pressure gradient, in which a catheter is inserted into the hepatic vein percutaneously via either the jugular or femoral vein. Of the hepatic veins, the middle hepatic vein is targeted most commonly because of its larger caliber and better alignment with the needle trajectory on linear endoscopic ultrasound. Doppler flow is used to confirm the typical multiphasic waveform of hepatic venous flow.
Details
- Title: Subtitle
- How to do Endoscopic Ultrasound‐guided Portal Pressure Gradient Measurement
- Creators
- Rintaro Hashimoto - University of California, IrvineKenneth J Chang - University of California, Irvine
- Contributors
- Frank Gress (Editor)Thomas Savides (Editor)Brenna Casey (Editor)Everson L. A Artifon (Editor)
- Resource Type
- Book chapter
- Publication Details
- Atlas of Endoscopic Ultrasonography, pp.194-196
- Publisher
- John Wiley & Sons, Ltd; Chichester, UK
- DOI
- 10.1002/9781119522997.ch40
- Number of pages
- 3
- Language
- English
- Date published
- 01/03/2022
- Academic Unit
- Internal Medicine
- Record Identifier
- 9984695682302771
Metrics
1 Record Views