[Hepatic cein catheterisation -  selected assessment aspects].

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
Read More Add to Saved list
  • Additional Information
    • Transliterated Title:
      Katetrizace jaterních žil -  vybrané aspekty hodnocení
    • Source:
      Publisher: Ambit Media Country of Publication: Czech Republic NLM ID: 0413602 Publication Model: Print Cited Medium: Print ISSN: 0042-773X (Print) Linking ISSN: 0042773X NLM ISO Abbreviation: Vnitr Lek Subsets: MEDLINE
    • Publication Information:
      Publication: 2010- : Brno : Ambit Media
      Original Publication: 1973-<1994> : Praha : Avicenum
    • Subject Terms:
      Hepatic Veins/*physiopathology ; Hypertension, Portal/*diagnosis ; Liver Cirrhosis/*etiology; Catheterization/methods ; Hepatitis B/complications ; Hepatitis C/complications ; Hepatolenticular Degeneration/complications ; Humans ; Hypertension, Portal/etiology ; Hypertension, Portal/physiopathology ; Liver Cirrhosis, Alcoholic/complications
    • Abstract:
      Introduction: Hepatic vein catheterisation and portal hypertension assessment using the value of portal hepatic gradient (HVPG) is currently a method of choice.
      Methodology: In our paper we shall compare HVPG with the so called direct gradient -  using the difference in pressure in the portal vein and free hepatic vein in 5 groups of patients with liver cirrhosis.
      Results: Hepatic vein catheterisation is reliable for assessing the portal hypertension in the group of patients with liver cirrhosis of ethylic etiology. In patients with liver cirrhosis resulting from hepatitis B, Wilsons disease or primary biliary cirrhosis, a statistically significant difference between HVPG and the direct gradient has been found. In patients with liver cirrhosis resulting from hepatitis C the obtained values differed but without statistical significance.
      Conclusion: In catheterisation of hepatic veins the HVPG value in liver cirrhosis with a presinusoidal component may be reduced, which has to be primarily taken into account when assessing the relationship to some critical values of the portal hepatic gradient.
    • Publication Date:
      Date Created: 20130806 Date Completed: 20151030 Latest Revision: 20181202
    • Publication Date:
      20221213
    • Accession Number:
      23909264