Wei W, Pu YS, Wang XK, Jiang A, Zhou R, Li Y, Zhang QJ, Wei YJ, Chen B, Li ZF. Wall shear stress in portal vein of cirrhotic patients with portal hypertension. World J Gastroenterol 2017; 23(18): 3279-3286 [PMID: 28566887 DOI: 10.3748/wjg.v23.i18.3279]
Corresponding Author of This Article
Zong-Fang Li, MD, PhD, Professor, National and Local Joint Engineering Research Center of Biodiagnosis and Biotherapy, The Second Affiliated Hospital of Xi’an Jiaotong University, No. 157 Xiwu Road, Xi’an 710004, Shaanxi Province, China. lzf2568@gmail.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Basic Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. May 14, 2017; 23(18): 3279-3286 Published online May 14, 2017. doi: 10.3748/wjg.v23.i18.3279
Table 1 Geometric and hemodynamic parameters of the idealized portal vein system model
Vein
Length (cm)
Diameter (cm)
Inlet velocity (cm/s)
Control
PH
Control
PH
PV
5.1
1.03
1.31
-
-
SV
9.6
0.63
0.95
17
16
SMV
8.2
0.92
0.94
21
17
LPV
2.1
0.73
0.75
-
-
RPV
2.1
0.83
0.78
-
-
Table 2 Clinical characteristics of patients with cirrhosis and portal hypertension and healthy controls
Parameters
Cirrhotic(n = 10)
Non-cirrhotic(n = 5)
P value
Sex, M/F
7/3
3/2
0.73
Age, yr
41 (31-58)
40 (29-53)
0.85
AST, in UI/L
52 (44-61)
30 (25-35)
0.01
ALT, UI/L
44 (41-56)
30 (28-31)
0.01
Platelet count, × 109/L
48 (42-57)
235 (206-265)
< 0.01
Diameter, in mm
PV
12.9 (11.0-14.3)
10.3 (9.9-10.7)
0.02
SV
10.0 (8.4-10.2)
6.3 (6.1-6.5)
< 0.01
SMV
8.6 (7.7-10.7)
9.3 (8.9-9.6)
0.77
Table 3 Wall shear stress in left and right walls of the portal vein in control and portal hypertension groups
Control group
PH group
Right wall
Left wall
Right wall
Left wall
WSS, dyn/cm2
16.3
8.6
9.8
4.4
Table 4 Wall shear stress in right and left walls for different superior mesenteric vein-splenic vein angles
Right wall
Left wall
85°
105°
125°
85°
105°
125°
WSS, dyn/cm2
16.3
12.1
9
8.6
8.7
9.4
Table 5 Wall shear stress in left and right walls for different portal vein-splenic vein angles
Right wall
Left wall
90°
110°
130°
90°
110°
130°
WSS, dyn/cm2
13.7
16.3
13.3
6.9
8.6
9.7
Citation: Wei W, Pu YS, Wang XK, Jiang A, Zhou R, Li Y, Zhang QJ, Wei YJ, Chen B, Li ZF. Wall shear stress in portal vein of cirrhotic patients with portal hypertension. World J Gastroenterol 2017; 23(18): 3279-3286