Usefulness of Liver Stiffness on Ultrasound Shear-Wave Elastography for the Evaluation of Central Venous Pressure in Children With Heart Diseases

• Published in: Circulation Journal Vol. 83; no. 6; pp. 1338 - 1341
• Main Authors: Terashi, Eiko, Kodama, Yoshihiko, Kuraoka, Ayako, Ishikawa, Yuichi, Nakamura, Makoto, Sagawa, Koichi, Ishikawa, Shiro
• Format: Journal Article
• Language: English
• Published: Japan The Japanese Circulation Society 24.05.2019
• Subjects: Central venous pressure; Children; Congenital heart disease; Liver stiffness; Ultrasound shear-wave elastography; Central venous pressure; Congenital heart disease; Liver stiffness; Children; Ultrasound shear-wave elastography
• ISSN: 1346-9843; 1347-4820
• DOI: 10.1253/circj.CJ-18-1313

Background:Liver stiffness on ultrasound shear-wave elastography (SWE) reflects central venous pressure (CVP) in adult patients with heart failure, but the association of liver stiffness on SWE with CVP in pediatric patients is not clear. The present study evaluated whether liver stiffness on SWE is useful as a non-invasive indicator of CVP in pediatric patients.Methods and Results:Liver stiffness was measured using ultrasound SWE in 79 patients aged <20 years with congenital heart diseases. None of the patients was found to have liver disease. Correlations between liver stiffness and other clinical variables, including CVP, were analyzed. CVP was the only factor independently and significantly correlated with liver stiffness in multivariate analysis. However, variables related to hepatic fibrosis did not correlate with liver stiffness.Conclusions:Liver stiffness on ultrasound SWE is useful as a non-invasive indicator of CVP in children with heart diseases.