Liu Jinqiao,Chen Wenjuan,Yin Qiang,et al.Predictive value of hepatic artery resistance index for biliary anastomotic complications after liver transplantation in children[J].Journal of Clinical Pediatric Surgery,,19():1038-1041.[doi:10.3969/j.issn.1671-6353.2020.11.015]
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Predictive value of hepatic artery resistance index for biliary anastomotic complications after liver transplantation in children

Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R] volume: 第19卷 Number: 2020 11 Page: 1038-1041 Column: 论著 Date of publication: 2020-11-15
Author(s):
Liu Jinqiao1;  Chen Wenjuan1;  Yin Qiang2;  Tang Ju1;  Zhou Mengjie1;  Peng Yinghui1;  Li Wenfeng1;  Zhou Qichang3
1. Department of Ultrasound, Hunan Children’s Hospital, Changsha 410007, China;
2. Department of General Surgery, Hunan Children’s Hospital, Changsha 410007, China;
3. Department of Ultrasound, Second Xiangya Hospital, Central South University, Chan
Keywords:
Ultrasound; Hepatic Artery; Resistance Index; Liver Transplantation; Biliary Complications; Child
CLC:
R729;R445.1
DOI:
10.3969/j.issn.1671-6353.2020.11.015
Abstract:
Objective To assess the predictive value of hepatic artery resistance index (HARI) for biliary anastomotic complications after liver transplantation in children.Methods Retrospective reviews were conducted for 58 children undergoing liver transplantation at Hunan Children’s Hospital from December 2015 to July 2020.Hepatic artery waveform,HARI and acceleration time (AT) detected by color Doppler ultrasound and magnetic resonance cholangiopancreatography and general profiles were collected.The authors classified and analyzed HARI,plotted receiver operating characteristic (ROC) curve of HARI and calculated HARI for predicting the optimal critical point for biliary complications and evaluating its sensitivity,specificity and accuracy.Results Among them,16 had biliary anastomotic complications.The optimal cut-off point for HARI for predicting biliary anastomotic complications was 0.58 and its sensitivity,specificity and accuracy were 61.5%,89.3% and 83% respectively.Children with HARI ≤ 0.58 had a higher chance of developing biliary complications.Conclusion Low resistance index after liver transplantation is correlated with biliary anastomotic complications.And the optimal cut-off point of HARI is 0.58.Children with HARI ≤ 0.58 have a higher chance of developing biliary complications.

References:

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Memo

收稿日期:2020-09-08。
基金项目:湖南省发改委基金（编号：湘发改投资[2014]658号）
通讯作者:周启昌,Email:hnzqc2013@163.com

Last Update: 1900-01-01