Replaced or right accessory hepatic artery: Can ultrasound replace angiography?
- 1 May 1988
- journal article
- research article
- Published by Wiley in Journal of Clinical Ultrasound
- Vol. 16 (4), 245-249
- https://doi.org/10.1002/jcu.1870160406
Abstract
The accuracy of ultrasonography in detecting the right hepatic artery was prospectively assessed in 128 patients undergoing abdominal angiography. Twenty‐five (19%) of the ultrasound studies were technically inadequate mainly because of gas superimposition. Of the remaining 103 cases, 14 had a replaced hepatic artery, which was diagnosed in 10 cases with ultrasound (sensitivity 71%). Eighty‐nine did not have a replaced hepatic artery and the ultrasound assessment was falsely positive in four of them (specificity 96%). Two of the four false negative results could be explained by a stenosis of the superior mesenteric artery in front of the origin of the replaced hepatic artery. Two of the four false positive results could be explained by the presence of a stenosis of the celiac trunk with hypertrophy of the pancreaticoduodenal arteries, one of them being misdiagnosed as a replaced hepatic artery.Keywords
This publication has 8 references indexed in Scilit:
- Sonographic demonstration of the aberrant left hepatic artery.Journal of Ultrasound in Medicine, 1984
- Porta hepatis: sonographic discrimination of bile ducts from arteries with pulsed Doppler with new anatomic criteriaAmerican Journal of Roentgenology, 1982
- Variability of the hepatic arterial anatomy: A sonographic demonstrationJournal of Clinical Ultrasound, 1981
- Sonographic anatomy of the hepatic arteryAmerican Journal of Roentgenology, 1981
- Normal roentgen variant: aberrant right hepatic artery on computed tomography.Radiology, 1980
- Ultrasonic evaluation of the superior mesenteric arteryJournal of Clinical Ultrasound, 1977
- NORMAL VASCULAR ANATOMY OF THE ABDOMINAL VISCERARadiologic Clinics of North America, 1970
- Newer anatomy of the liver and its variant blood supply and collateral circulationThe American Journal of Surgery, 1966