The clinical significance of intrapulmonary vascular dilations in liver transplant candidates

Intrapulmonary vascular dilations (IPVD) are common in patients with cirrhosis, but the majority do not have hepatopulmonary syndrome (HPS). The clinical significance of IPVD is unknown. Our aim was to determine the clinical impact due to the entire spectrum of IPVD in liver transplant (LT) candidat...

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Bibliographic Details
Published in:Clinical transplantation 2013-01, Vol.27 (1), p.148-153
Main Authors: Agarwal, P. D., Hughes, P. J., Runo, J. R., Ibrisim, D., Lucey, M. R., Said, A.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Biological and medical sciences
Blood Gas Analysis
contrast echocardiography
Echocardiography
End Stage Liver Disease - complications
End Stage Liver Disease - mortality
End Stage Liver Disease - surgery
Female
Follow-Up Studies
Fundamental and applied biological sciences. Psychology
Fundamental immunology
hepatopulmonary syndrome
Hepatopulmonary Syndrome - diagnosis
Hepatopulmonary Syndrome - etiology
Hepatopulmonary Syndrome - mortality
Humans
intrapulmonary vascular dilations
liver transplantation
Liver Transplantation - adverse effects
Liver, biliary tract, pancreas, portal circulation, spleen
Male
Medical sciences
Middle Aged
Prognosis
Pulmonary Circulation
Retrospective Studies
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the digestive system
Survival Rate
Tissue, organ and graft immunology
Young Adult
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Description
Summary:Intrapulmonary vascular dilations (IPVD) are common in patients with cirrhosis, but the majority do not have hepatopulmonary syndrome (HPS). The clinical significance of IPVD is unknown. Our aim was to determine the clinical impact due to the entire spectrum of IPVD in liver transplant (LT) candidates. A total of 122 evaluees for LT underwent contrast transthoracic echocardiography (cTTE). The degree of shunting was graded 1–3 (severe). HPS was defined as PaO2 
ISSN:0902-0063
1399-0012
DOI:10.1111/ctr.12033