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212631

EFFECT OF HCV DIRECT ANTIVIRAL AGENTS ON PORTAL CIRCULATION HEMODYNAMICS IN CIRRHOTIC PATIENTS

Article

Last updated: 24 Dec 2024

Subjects

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Tags

Medicine

Abstract

Background: Eradication of hepatitis C virus (HCV) infection using direct-acting antiviral Agents (DAAs) nowadays is almost always hopeful. Sustained virological response (SVR) has been documented in more than 90% of cases. This prevents more fibrosis and precludes the progression of portal hypertension (PH). Objective: detect the effect of HCV Direct Antiviral Agents on portal circulation hemodynamics. Patients and methods: This prospective descriptive study that was conducted on 70 HCV infected patients with liver stiffness measurement (LVM) ≥ 14.0 Kpa and underwent treatment with DAAs therapeutic regimens. They were subjected to pre-treatment, end of treatment (EOT) and 1 year after EOT laboratory, transient elastography (TE) and Doppler assessment at Gastroenterology, Hepatology and Infectious diseases Department, Al-Hussien University Hospital, Cairo and National Liver Institute, Menoufia, Egypt in the period from May 2018 to December 2019. Results: Liver function tests including serum bilirubin, albumin, international ratio (INR), alanine transaminase (ALT) and aspartate transaminase (AST) were improved with variable significant values at EOT and 1 year after treatment, while hemoglobin and platelet count decreased. LVM values decreased significantly at the end of treatment (P<0.001). Doppler parameters including portal vein diameter, portal vein velocity (PVV), congestion index of portal vein (CI) and liver vascular index (P value<0.001) were improved significantly 1year after EOT. Also, resistive index of hepatic artery (HARI) (P value = 0.001) significantly improved at the same point of time. Conclusion: Doppler portal hypertensive parameters, as a marker of portal hypertension, improved in parallel with the improvement in LVM, ALT and AST values after viral eradication.

DOI

10.21608/amj.2022.212631

Keywords

Portal hemodynamics, HCV eradication, Liver Stiffness, Direct acting antiviral, Portal vein Doppler parameters

Authors

First Name

Mostafa

Last Name

Abd El-Hamid Selima

MiddleName

-

Affiliation

Infectious diseases, Gastroenterology and Hepatology Department, AlAzhar Faculty of Medicine, AlAzhar University, Cairo, Egypt

Email

mostselima@gmail.com

City

-

Orcid

-

First Name

Nader

Last Name

Farid Mostafa

MiddleName

-

Affiliation

Infectious diseases, Gastroenterology and Hepatology Department, AlAzhar Faculty of Medicine, AlAzhar University, Cairo, Egypt

Email

-

City

-

Orcid

-

First Name

Galal

Last Name

Abd El-Hameed Abou-Farrag

MiddleName

-

Affiliation

Infectious diseases, Gastroenterology and Hepatology Department, AlAzhar Faculty of Medicine, AlAzhar University, Cairo, Egypt

Email

-

City

-

Orcid

-

First Name

Mohamed

Last Name

Abbas Deif

MiddleName

-

Affiliation

Diagnostic and Interventional Radiology Department, National Liver Institute (NLI), Menoufia University, Shebin El-Kom, Menoufia, Egypt

Email

-

City

-

Orcid

-

Volume

51

Article Issue

1

Related Issue

29633

Issue Date

2022-01-01

Receive Date

2022-01-04

Publish Date

2022-01-01

Page Start

417

Page End

430

Print ISSN

1110-0400

Link

https://amj.journals.ekb.eg/article_212631.html

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https://amj.journals.ekb.eg/service?article_code=212631

Order

36

Type

Original Article

Type Code

941

Publication Type

Journal

Publication Title

Al-Azhar Medical Journal

Publication Link

https://amj.journals.ekb.eg/

MainTitle

EFFECT OF HCV DIRECT ANTIVIRAL AGENTS ON PORTAL CIRCULATION HEMODYNAMICS IN CIRRHOTIC PATIENTS

Details

Type

Article

Created At

22 Jan 2023