Acute changes in cerebral blood flow and metabolism during portasystemic shunting.
Jalan R., Newby DE., Olde Damink SW., Redhead DN., Hayes PC., Lee A.
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.