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Portal Vein Stenosis Following Liver Transplantation Hemodynamically Assessed with 4D-flow MRI before and after Portal Vein Stenting
Authors:Ryota Hyodo  Yasuo Takehara  Takashi Mizuno  Kazushige Ichikawa  Yasuhiro Ogura  Shinji Naganawa
Institution:1.Department of Radiology, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan;2.Department of Medical Technology, Nagoya University Hospital, Nagoya, Aichi, Japan;3.Department of Transplantation Surgery, Nagoya University Hospital, Nagoya, Aichi, Japan
Abstract:We present a case of a patient who underwent portal vein (PV) stenting for PV stenosis after a living-donor liver transplantation. A pretreatment 3D cine phase-contrast (4D-flow) MRI showed decreased, though hepatopetal, blood flow in the PV. After stenting, 4D-flow MRI confirmed an improvement in PV flow, with a more homogeneous flow distribution to each hepatic segment. 4D-flow MRI are valuable for understanding the hemodynamics of this area, planning for treatments, and evaluating the outcome of the interventions.
Keywords:4D-flow MRI  living-donor liver transplantation  portal vein stenosis  portal vein stenting
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