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Endovascular treatment of aorto-hepatic bypass thrombosis following liver transplantation


Authors: M. Ondruška 1;  J. Janek 1;  R. Kminiak 1;  Z. Opravil 2
Authors‘ workplace: Oddelenie cievnej chirurgie, Fakultná nemocnica s poliklinikou F. D. Roosevelta, Banská Bystrica 1;  Oddelenie rádiológie, Fakultná nemocnica s poliklinikou F. D. Roosevelta, Banská Bystrica 2
Published in: Rozhl. Chir., 2019, roč. 98, č. 10, s. 418-421.
Category: Case Report

Overview

Hepatic artery thrombosis is the most common vascular complication after liver transplantation. Early thrombosis is treated by surgical revascularization; if not feasible, there is need for urgent retransplantation. Late thrombosis is diagnosed mostly when clinical symptoms or graft dysfunction are present, in which case the only possible therapy is retransplantation. We present a case of a young patient with late thrombosis of an aorto-hepatic bypass, in whom we successfully used thrombolytic therapy with stent-graft placement.

Keywords:

intra-arterial thrombolysis – hepatic artery thrombosis – liver transplantation – endovascular therapy


Sources
  1. Singhal A, Stokes K, Sebastian A, et al. Endovascular treatment of hepatic artery thrombosis following liver transplantation. Transpl Int. 2010;23:245–56. doi: 10.1111/j.1432-2277.2009.01037.x.

  2. Busuttil RW, Klintmalm GB. Transplantation of the liver. 3rd ed. Saunders, Elsevier, Philadelphia 2015.

  3. Mourad MM, Liossis CH, Gunson BK, et al. Etiology and management of hepatic artery thrombosis after adult liver transplantation. Liver Transplantation 2014;20:713–23. doi: 10.1002/lt.23874.

  4. Stange BJ, Glanemann M, Nuessler NC, et al. Hepatic artery thrombosis after adult liver transplantation. Liver Transplantation 2003;9:612. doi: 10.1053/jlts.2003.50098.

  5. Garcia-Criado A, Gilabert R, Nicolau C, et al. Early detection of hepatic artery thrombosis after liver transplantation by Doppler ultrasonography. J Ultrasound Med. 2001;20:51. doi: 10.7863/jum.2001.20.1.51.

  6. Vignali C, Bargellini I, Cioni R, et al. Diagnosis and treatment of hepatic artery stenosis after orthotopic liver transplantation. Transplant Proc. 2004;36:2771. doi: 10.1016/j.transproceed.2004.10.028.

  7. Bekker JS, Ploem S, de Jong KP. Early hepatic artery thrombosis after liver transplantation: a systematic review of the incidence, outcome, and risk factors. Am J Transpl. 2009;9:746. doi: 10.1111/j.1600-6143.2008.02541.x.

  8. Saad WEA, Davies MG, Saad NEA, et al. Transcatheter thrombolysis of thrombosed hepatic arteries in liver transplant recipients: predictors of defi­nitive endoluminal success and the role of pre-operative thrombolysis. Vasc Endovasc Surg. 2007;41:19. doi: 10.1177/1538574406296210.

  9. Yang Y, Hua LI, Sheng FU, et al. Hepatic artery complication after orthotopic li­ver transplantation: interventional treatment or retransplantation? Chin Med J. 2008;12:1997.

  10. Zajko AB, Brom KM, Starzl TE, et al. Angio­graphy of liver transplantation patients. Radiology 1985;157:305. doi: 10.1148/radiology.157.2.3901102.

  11. Kristová V, Wawruch M, Tisoňová J, et al. Kardiovaskulárne liečivá. Vydavateľstvo Univerzity Komeského v Bratislave 2011.

  12. Semba CP, Bakal CW, Calis KA, et al. Alteplase as an alternative to urokinase. J Vasc Interv Radiol. 2000;11:279.

Labels
Surgery Orthopaedics Trauma surgery
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