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Acute changes in cerebral blood flow and metabolism during portasystemic shunting
R Jalan1, D E Newby, S W Olde Damink
1Liver Unit and Scottish Liver Transplantation Unit, Royal Infirmary of Edinburgh, Scotland, UK.
Abstract:
This report describes the instantaneous changes in cerebral blood flow (CBF), determined by intravascular ultrasound and Doppler, in a patient with cirrhosis undergoing placement of a transjugular intrahepatic stent-shunt for uncontrolled variceal bleeding. Acute changes in CBF were observed during and after portasystemic shunting, which culminated in cerebral edema and cerebral herniation.