High resolution flow with glazing flow for optimized flow detection in transjugular intrahepatic portosystemic stent shunt (TIPS): First results

Jung, Ernst-Michael and Jung, Friedrich and Verloh, Niklas and Haimerl, Michael and Luerken, Lukas and Jage, Simon and Stroszczynski, Christian and Scharf, Gregor (2022) High resolution flow with glazing flow for optimized flow detection in transjugular intrahepatic portosystemic stent shunt (TIPS): First results. CLINICAL HEMORHEOLOGY AND MICROCIRCULATION, 82 (3). pp. 231-238. ISSN 1386-0291, 1875-8622

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Abstract

BACKGROUND: Ultrasound follow-up of transjugular intrahepatic portosystemic shunt (TIPS) is challenging due to the bent course of the stent-graft. OBJECTIVE: Aim of this retrospective study was to assess to which extent the combination of HR flow with Glazing Flow improves hemodynamic assessment in the ultrasound follow-up of TIPS. METHODS: Comparative studies with CCDS and High Resolution (HR)-Flow with Glazing Flow were evaluated regarding image quality and artifacts on a 5-point scale (0 = cannot be assessed up to 5 = maximum image quality without artifacts). In all cases, an experienced examiner performed the examinations with a 1-6MHz probe (Resona 7, Mindray). RESULTS: 61 ultrasound examinations in 48 patients were performed; the mean patient age was 54 +/- 14.2 years. The use of HR-Flow with Glazing Flow resulted in an improved flow display in 55/61 cases (90.2%). Both methods correlated well (r = 0.71), but HR flow with Glazing flow values were in general higher than CCDS values. The reading resulted in an average value of 2.52 +/- 0.54 for CCDS and 3.52 +/- 0.57 for HR flow with Glazing flow (p = 0.013). CONCLUSIONS: The combination of HR-Flow and Glazing Flow results in improved flow representation and reduction of artifacts in the ultrasound follow-up of TIPS.

Item Type: Article
Uncontrolled Keywords: FOLLOW-UP; SONOGRAPHY; DOPPLER; MANAGEMENT; Transjugular intrahepatic shunt (TIPS); color coded doppler sonography (CCDS); HR-flow; glazing flow; postinterventional control
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Röntgendiagnostik
Depositing User: Dr. Gernot Deinzer
Date Deposited: 14 Feb 2024 07:30
Last Modified: 14 Feb 2024 07:30
URI: https://pred.uni-regensburg.de/id/eprint/57270

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