I recently register a clinical trial in patients with liver cirrhosis. One of the study variables is hepatic vein velocity. There are three hepatic vein and determine hepatic vein velocity is possible to all three veins and in different regions (i.e. proximal to ivc or distal or in sinusoids)
Which hepatic vein velocity is more reliable in cirrhotic patient for determine of hepatic vein velocity? Which section of vein is beter for determine this value?
The left hepatic vein can sometimes be harder to profile if the liver is echogenic and the patient is large. But no difference in the middle and right that I am aware of.
Dr Prof. Rodrigo and Dr Ballard,
To my knowledge, taking hepatic vein velocity close to the IVC determines the right side heart pressure and it is more helpful in heart diseases like heart failure. The purpose of my idea to determination of hepatic vein velocity is evaluate the effect of specific drug (in this trial) on improvement of hepatic impairment. Hence, I think determination of hepatic vein velocity distal to the IVC or in the sinusoids can better determine the hepatic function.
Are you agree with my opinion?
Luis Rodrigo David H Ballard
- Badges
- Science topic
- Similar topics
- Solid State Physics
- Devices