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Hepatic vein catheter

PD Dr.med.univ. et scient.med. Mattias Mandorfer

Senior Physician

Reachability: Checkpoint 7i, red bed building

Appointments Phone: +43 (0)1 40400-47780 or -47295
or E-Mail: post_akh_ls_7i@akhwien.at

Business hours: Monday - Friday by appointment

The portal vein pressure measurement using a hepatic vein catheter (LVK) examination via the jugular vein takes place in Austria's largest center for the treatment and care of patients with liver cirrhosis and portal hypertension. With more than 350 hepatic vein catheter examinations and liver biopsies (also via the jugular vein, i.e. "transjugular") per year, the hepatic hemodynamics laboratory is one of the largest of its kind in the world and the second largest center in Europe.

The main clinical task of the laboratory is to determine the hepatic venous pressure gradient (HVPG) using hepatic venous catheters to examine the jugular vein in patients with advanced liver diseases and to obtain a liver tissue sample if the findings are unclear.

A hepatic vein catheter measurement is mainly carried out in the following clinical situations:

  • Diagnosis of portal hypertension in patients with liver cirrhosis
  • Bleeding risk assessment in patients with varices or after variceal bleeding
  • Control of drug therapy (beta-blocker response)
  • Risk assessment before liver surgery
  • Monitoring before and after specific therapies for the underlying liver disease
  • Safe extraction of a liver tissue sample (transjugular liver biopsy)

In addition, other special examinations can be offered in the hepatic hemodynamic laboratory:

  • Liver Transient Elastography (Fibroscan(R))
  • Right heart catheter examinations (Swan-Ganz catheter)
  • Heavy wave elastography of the liver and spleen
  • ICG clearance