Direct transhepatic measurement of portal vein pressure using a thin needle. Comparison with wedged hepatic vein pressure

Thomas D Boyer, D. R. Triger, M. Horisawa, A. G. Redeker, T. B. Reynolds

Research output: Contribution to journalArticle

190 Citations (Scopus)

Abstract

A technique for the direct measurement of portal vein pressure in fully conscious patients is described. This uses a percutaneous transhepatic approach with a thin Chiba needle and is shown to be simple and safe. The technique has been applied to 123 patients with a variety of liver disorders and the pressure measurements have been compared with those obtained by the indirect technique of wedge hepatic vein catheterization. Close agreement was found between portal vein pressure and wedged hepatic vein pressure in quiescent alcoholic liver disease and alcoholic hepatitis. In chronic active hepatitis, portal vein pressure tended to be higher than wedged hepatic vein pressure, indicating a presinusoidal component to the portal hypertension. This technique is shown to be useful in assessing idiopathic portal hypertension and in demonstrating hepatofugal flow.

Original languageEnglish (US)
Pages (from-to)584-589
Number of pages6
JournalGastroenterology
Volume72
Issue number4 1
StatePublished - 1977
Externally publishedYes

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Portal Pressure
Hepatic Veins
Portal Vein
Needles
Pressure
Alcoholic Hepatitis
Alcoholic Liver Diseases
Portal Hypertension
Chronic Hepatitis
Catheterization
Liver

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Direct transhepatic measurement of portal vein pressure using a thin needle. Comparison with wedged hepatic vein pressure. / Boyer, Thomas D; Triger, D. R.; Horisawa, M.; Redeker, A. G.; Reynolds, T. B.

In: Gastroenterology, Vol. 72, No. 4 1, 1977, p. 584-589.

Research output: Contribution to journalArticle

Boyer, Thomas D ; Triger, D. R. ; Horisawa, M. ; Redeker, A. G. ; Reynolds, T. B. / Direct transhepatic measurement of portal vein pressure using a thin needle. Comparison with wedged hepatic vein pressure. In: Gastroenterology. 1977 ; Vol. 72, No. 4 1. pp. 584-589.
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