Three-dimensional contrast-enhanced ultrasonic cholangiography: A new technique for delineation of the biliary tract in a liver donor
✍ Scribed by Er-Jiao Xu; Ren Mao; Rong-Qin Zheng; Min-Qiang Lu; Mei Liao; Jie Ren; Kai Li
- Publisher
- John Wiley and Sons
- Year
- 2009
- Tongue
- English
- Weight
- 113 KB
- Volume
- 15
- Category
- Article
- ISSN
- 1527-6465
- DOI
- 10.1002/lt.21783
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✦ Synopsis
Currently, intraoperative cholangiography using a radio-opaque contrast medium is widely used for visualizing the biliary tract before donor hepatectomy in living donor liver transplantation (LDLT). However, radiation exposure and adverse reactions to intravenous iodinated contrast have limited its clinical application. Ultrasonography could overcome these limitations if the bile ducts could be visualized adequately. Contrastenhanced ultrasound (CEUS) and 3-dimensional (3D) CEUS have been successfully used for depicting blood flow by the intravenous injection of microbubble contrast media. 1,2 Recently, the value of intracavitary administration of microbubble contrast media in the diagnosis of vesico-ureteric reflux has been reported. 3 We describe the use of 3D contrast-enhanced ultrasonic cholangiography (CEUSC) to delineate the biliary tree in an adult living liver donor through the injection of microbubble contrast media into the bile ducts intraoperatively.