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Hllo Is Common Hepatic Artery Blood Flow With Peak Systolic

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Posted on Wed, 30 Oct 2019
Question: Hllo

is common hepatic artery blood flow with peak systolic velocity 346 cm/s, peak end diastolic velocity 117 cm/s normal?
doctor
Answered by Dr. Ramesh Kumar (1 hour later)
Brief Answer:
No they are high.

Detailed Answer:
Hello and thank for choosing "Ask a Doctor" service for your query,
Have seen your details and photo attached
In normal patients, systolic velocities approximate 120 cm/sec while diastolic peak should be approx 40 cm/sec.
The pressure you have written are high.
Thank you,
Follow ups are welcome!
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Ramesh Kumar (37 minutes later)
Could it be related to MALS Syndrome? Reading of celiac artery origin PSV 301 cm/s and EDV is 132 cm/s.It says also spectral doppler velocity 193 cm/s.says can be explained by intermittent compressin inslightly different positions.

From what I have read ,different positions can alleviate compression in syndromes but is still a problem. They listed the common hepatic artery reading to be of uncertain significance.
Dr Chail ( radiologist) sees signs of compression in ct scans, ct angiography as well as upper gi and ultra sound.Also, my sons chest was slightly dented in at birth and I took him to 3 different Drs.They said was no problem but keep an eye on it.

In your opinion, do you think the common hepatic artery reading could be related to MALS & or, SMA Syndrome?

Do you agree with Dr Chail's possible diagnosis of SMA Syndrome? I am not doubting Dr Chail ( in fact I agree) but some Drs here are saying since compression can be explained by compression in slightly different positions that it is insignificant. It usually is relieved in different positions so, I think statement is stupid.
Can you tell me what common hepatic artery reading could mean other than compression?

Thank you
doctor
Answered by Dr. Ramesh Kumar (9 minutes later)
Brief Answer:
Consult a second radiologist directly.

Detailed Answer:
Hey there thank you for follow up but as per your query these tests could be interpreted only by Radiologists(Dr Chail is a Radiologist) .A gastroenterologist works on the report given/read by a radiologist.
I would rather suggest you to consult directly to another Radiologist regarding this query.
As a gastroentrologist /Any other medicine specialist a answer could be given but thats not fair thing.
This is exclusively a radiology topic and ask a radiologist directly for secondary opinion.
Have gone through the answers given by other doctors too but its not their domain.
Better advice is to get you doubts cleared up by a Radiologist directly and write back to me after that.
Thanks
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Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2906 Questions

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Hllo Is Common Hepatic Artery Blood Flow With Peak Systolic

Brief Answer: No they are high. Detailed Answer: Hello and thank for choosing "Ask a Doctor" service for your query, Have seen your details and photo attached In normal patients, systolic velocities approximate 120 cm/sec while diastolic peak should be approx 40 cm/sec. The pressure you have written are high. Thank you, Follow ups are welcome!