Title |
Current concepts in the management of hepatopulmonary syndrome
|
---|---|
Published in |
Vascular Health and Risk Management, October 2008
|
DOI | 10.2147/vhrm.s3608 |
Pubmed ID | |
Authors |
Vincent Ho |
Abstract |
The hepatopulmonary syndrome is characterized as the triad of liver disease, pulmonary gas exchange abnormalities leading to arterial deoxygenation and evidence of intrapulmonary vascular dilatations. This review summarizes the pathological mechanisms leading to pulmonary vascular changes in hepatopulmonary syndrome. The role of the three currently used diagnostic imaging modalities of contrast-enhanced echocardiography, perfusion lung scanning and pulmonary arteriography that identify the presence of intrapulmonary vascular abnormalities are reviewed. Liver transplantation is considered to be the definitive treatment of hepatopulmonary syndrome with often successful reversal of hypoxemia, however other treatments have been trialed. This review further appraises the evidence for the use of pharmacological agents and the role of radiological interventions in hepatopulmonary syndrome. |
X Demographics
Geographical breakdown
Country | Count | As % |
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India | 1 | 33% |
Unknown | 2 | 67% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 3 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Egypt | 1 | 2% |
Saudi Arabia | 1 | 2% |
Unknown | 61 | 97% |
Demographic breakdown
Readers by professional status | Count | As % |
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Other | 8 | 13% |
Researcher | 8 | 13% |
Student > Doctoral Student | 7 | 11% |
Professor > Associate Professor | 7 | 11% |
Student > Ph. D. Student | 6 | 10% |
Other | 14 | 22% |
Unknown | 13 | 21% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 43 | 68% |
Agricultural and Biological Sciences | 5 | 8% |
Mathematics | 1 | 2% |
Economics, Econometrics and Finance | 1 | 2% |
Nursing and Health Professions | 1 | 2% |
Other | 2 | 3% |
Unknown | 10 | 16% |