S1927 Clinical Relevance of Thrombocytopenia in Patients With Advanced Liver Disease Undergoing Invasive Procedures

Autor:	Alfredo Greco, Edoardo G. Giannini, Enzo Andorno, Umberto Valente, Vincenzo Savarino
Rok vydání:	2010
Předmět:	medicine.medical_specialty Hepatology business.industry Non invasive Gastroenterology medicine.disease Predictive value Liver disease medicine Clinical significance In patient cardiovascular diseases Radiology Doppler ultrasound business Invasive Procedure Preoperative imaging
Zdroj:	Gastroenterology. 138:S-819
ISSN:	0016-5085
DOI:	10.1016/s0016-5085(10)63773-0
Popis:	that absence of a LPV on CTA or MRA does not preclude the possibility of successful mesoRex bypass. Transjugular portal venogram, although an invasive procedure, had the best overall accuracy (0.85), sensitivity (1.0) and positive predictive value (0.83). Doppler ultrasound was less accurate and sensitive than other modalities. CONCLUSION: Non invasive preoperative imaging studies in children with EHPVO are not accurate at predicting success in doing the meso-Rex bypass. CTA or MRA are useful for operative planning but have a low negative predictive value and should not be used to exclude patients. Transjugular portal venogram is the most accurate predictor of success when more definitive preoperative determination of LPV patency is required. Table 1.
Databáze:	OpenAIRE
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