Document Detail


Endovascular management of early hepatic artery thrombosis after living donor liver transplantation.
MedLine Citation:
PMID:  22708507     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
To study the feasibility of endovascular management of early hepatic artery thrombosis (HAT) after living-donor liver transplantation (LDLT) and to clarify its role as a less invasive alternative to open surgery. A retrospective review of 360 recipients who underwent LDLT. Early HAT developed in 13 cases (3.6%). Diagnosis was performed using Doppler, CT angiography, and digital subtraction angiography. Intra-arterial thrombolysis (IAT) was performed using streptokinase or tPA. In case of underlying stricture, PTA was attempted. If the artery did not recanalize, continuous infusion was performed and monitored using Doppler US. Initial surgical revascularization was successful in 2/13 cases. IAT was performed in 11/13 cases. The initial success rate was 81.8% (9/11), the failure rate was 18.2% (2/11). Rebound thrombosis developed in 33.3% (3/9). Hemorrhage developed after IAT in 2/11 cases (18.2%). Definite endovascular treatment of HAT was achieved in 6/11 cases (54.5%) and definite treatment (surgical, endovascular or combined) in 9/13 cases (69%). (Follow-up 4 months-4 years). Endovascular management of early HAT after LDLT is a feasible and reliable alternative to open surgery. It plays a role as a less invasive approach with definite endovascular treatment rate of 54.5%.
Authors:
Omar Abdelaziz; Karim Hosny; Ayman Amin; Sally Emadeldin; Shinji Uemoto; Mohamed Mostafa
Related Documents :
22466977 - Three-dimensional contrast-enhanced magnetic resonance angiography at 3.0t scanner: sig...
22538047 - Coronary artery bypass grafting after percutaneous coronary intervention.
12833487 - Hypercapnic acidosis and compensated hypercapnia in control and pulmonary hypertensive ...
978577 - The direct effect on pulmonary stretch receptor discharge produced by changing lung car...
23443277 - Duplicate origin of the posterior communicating artery diagnosed by magnetic resonance ...
23702737 - Morphology of the cerebral arterial circle in the prenatal and postnatal period of serb...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-6-18
Journal Detail:
Title:  Transplant international : official journal of the European Society for Organ Transplantation     Volume:  -     ISSN:  1432-2277     ISO Abbreviation:  -     Publication Date:  2012 Jun 
Date Detail:
Created Date:  2012-6-19     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8908516     Medline TA:  Transpl Int     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 The Authors. Transplant International © 2012 European Society for Organ Transplantation.
Affiliation:
 Diagnostic and Intervention Radiology Department, Cairo University Hospitals, Cairo, Egypt  Vascular Surgery Department, Cairo University Hospitals, Cairo, Egypt  The Department of Surgical Oncology, National Cancer Institute, Cairo, Egypt  Department of Surgery, Kyoto University, Kyoto, Japan.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Selective vaginal breech delivery at term-still an option.
Next Document:  Heightened attention to supplementation is needed to improve the vitamin D status of breastfeeding m...