Renal vein measurement using ultrasonography in patients with cirrhotic ascites and congestive heart failure

Purpose Ascites can cause compression of the inferior vena cava (IVC), leading to increased renal venous pressure and renal congestion. Previously, the left renal vein diameter in liver cirrhosis patients with ascites was measured using computed tomography, showing that enlargement of the left renal...

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Bibliographic Details
Published in:Journal of medical ultrasonics (2001) 2021-04, Vol.48 (2), p.225-234
Main Authors: Kaneko, Masahiro, Matsumoto, Naoki, Kumagawa, Mariko, Watanabe, Yukinobu, Hirayama, Midori, Nakagawara, Hiroshi, Yamamoto, Toshiki, Ogawa, Masahiro, Moriyama, Mitsuhiko
Format: Article
Language:English
Subjects:
Ascites
Blood tests
Body mass index
Cardiovascular disease
Computed tomography
Congestion
Congestive heart failure
Creatinine
CT imaging
Diameters
Ejection fraction
Endoscopy
Esophagus
Flow velocity
Heart failure
Hepatitis B
Hepatitis C
Hypertension
Imaging
Liver
Liver cirrhosis
Liver diseases
Measurement
Medicine
Medicine & Public Health
Mortality
Original Article–Gastroenterology
Patients
Peptides
Prognosis
Radiology
Success
Ultrasonic imaging
Ultrasound
Ultrasound imaging
Veins
Veins & arteries
Venous pressure
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Summary:Purpose Ascites can cause compression of the inferior vena cava (IVC), leading to increased renal venous pressure and renal congestion. Previously, the left renal vein diameter in liver cirrhosis patients with ascites was measured using computed tomography, showing that enlargement of the left renal vein diameter affects the prognosis. Herein, the diameter and flow velocity of the renal veins were measured using ultrasonography. Methods Abdominal ultrasonography was performed on 186 patients. The patients were divided into four groups: normal liver ( n  = 102), liver cirrhosis (LC) without ascites ( n  = 37), LC with ascites ( n  = 30), and congestive liver ( n  = 17). Ultrasonographic measurements for diameter and flow velocity of the IVC, left renal vein main trunk, and segmental renal vein were performed. Results The left renal vein diameter increased in the following order: normal liver, LC, LC with ascites, and congestive liver groups ( P  
ISSN:1346-4523
1613-2254
DOI:10.1007/s10396-021-01088-0