Hepatic venous congestion after right-lobe living-donor liver transplantation: the added value of delayed-phase imaging on CT.

Abstract:

PURPOSE:To describe and determine the additional value of delayed-phase imaging of hepatic venous congestion after living-donor liver transplantation. MATERIALS AND METHODS:Twenty-eight patients who had surgical ligation of the middle hepatic vein (HV) in living-donor liver transplantation underwent 3-phase computed tomography scans. Two radiologists analyzed in consensus the presence and pattern of the hepatic attenuation difference and the opacification of the HV in the congested areas of the liver during each phase of the initial and follow-up computed tomography scanning. The imaging findings were correlated with the serum bilirubin level. RESULTS:Opacification of the HV was observed more frequently in 22 (92%) of 24 hyperattenuating areas on delayed-phase (DP) scans than in 2 (50%) of 4 hypoattenuating areas in the congested areas of the liver. Patients with persistent hypoattenuatation in the congested areas on all phases (14%) showed significantly persistent hyperbilirubinemia after postoperative 4 weeks and showed a higher mortality rate (50%) than did the other patients with hyperattenuation on DP scans. CONCLUSIONS:A hypoattenuating area of the liver during DP scans indicates severe hepatic congestion and is correlated with hyperbilirubinemia and a high mortality rate.

journal_name

J Comput Assist Tomogr

authors

Park EA,Lee JM,Kim SH,Lee MW,Han JK,Choi BI,Lee JY,Lee W,Chung JW,Park JH

doi

10.1097/01.rct.0000236420.28137.aa

subject

Has Abstract

pub_date

2007-03-01 00:00:00

pages

181-7

issue

2

eissn

0363-8715

issn

1532-3145

pii

00004728-200703000-00004

journal_volume

31

pub_type

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