Document Detail

Role of imaging in the management of splenic artery steal syndrome.
MedLine Citation:
PMID:  19321675     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: The purpose of this study is to discuss the etiology and role of imaging in the management of splenic artery steal syndrome (SASS) following orthotropic liver transplantation (OLT). METHODS: Hepatic arterial thrombosis and stenosis have been the most commonly recognized arterial complications following OLT. Splenic artery steal syndrome is a recently described entity in the transplant literature and thought to be an under-recognized cause of graft ischemia. It is characterized by hepatic arterial hypoperfusion accompanied by splenic arterial and portal venous hyperperfusion and leads to various vascular and biliary graft complications. Because the clinical manifestations of SASS are so non-specific, imaging plays a key role in the diagnosis of this condition. RESULTS: This article discusses the role of imaging in the management of this potentially reversible cause of graft ischemia. CONCLUSIONS: Awareness of the imaging features and having a high index of suspicion are essential for the early diagnosis and prompt management of this condition.
Rupan Sanyal; Shetal N Shah
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine     Volume:  28     ISSN:  1550-9613     ISO Abbreviation:  J Ultrasound Med     Publication Date:  2009 Apr 
Date Detail:
Created Date:  2009-03-26     Completed Date:  2009-06-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8211547     Medline TA:  J Ultrasound Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  471-7     Citation Subset:  IM    
Department of Radiology, Cleveland Clinic Foundation, Cleveland, OH 44195, USA.
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MeSH Terms
Hepatic Artery
Ischemia / diagnosis*,  etiology*
Liver / blood supply*
Liver Transplantation / adverse effects*
Splenic Artery / pathology*,  ultrasonography*

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