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- Title
Endovascular Therapy for Hepatic Artery Stenosis and Thrombosis Following Liver Transplantation.
- Authors
Sabri, Saher S.; Saad, Wael E. A.; Schmitt, Timothy M.; Turba, Ulku C.; Kumer, Sean C.; Park, Auh-Whan; Matsumoto, Alan H.; Angle, John F.
- Abstract
Purpose: To evaluate the effectiveness of endovascular management of steno-oclusive disease in liver transplants. Methods: Retrospective review of liver transplant recipients with hepatic artery stenosis (HAS) or thrombosis (HAT) was performed. The HAS group was treated with balloon angioplasty with selective stent placement. The HAT group was treated with catheter-directed thrombolysis. Primary, unassisted, and assisted patency and graft survival rates were calculated. Results: In all, 31 patients were identified (21 males; mean age, 51 years). A total of 25 of 31 (81%) patients had HAS and 6 of 31 (19%) had HAT. Collectively, a total of 35 endovascular procedures were performed to treat HAS in 25 patients. Overall technical success rate was 91%, with 11% major complication rate. Primary-assisted patency rate and graft survival at 6 and 12 months were 87% and 81%, and 76% and 72%, respectively. Only 1 successful thrombolysis of HAT was achieved. Conclusion: Endovascular management is effective for HAS but not for HAT.
- Subjects
THROMBOSIS surgery; ARTERIAL surgery; ANALYSIS of variance; ARTERIAL occlusions; GRAFT versus host reaction; HEPATIC artery; LIVER blood-vessels; LIVER transplantation; HEALTH outcome assessment; SURGICAL stents; SURGICAL complications; SURVIVAL analysis (Biometry); THROMBOLYTIC therapy; THROMBOSIS; TRANSLUMINAL angioplasty; TREATMENT effectiveness; RETROSPECTIVE studies; SURGERY
- Publication
Vascular & Endovascular Surgery, 2011, Vol 45, Issue 5, p447
- ISSN
1538-5744
- Publication type
Article
- DOI
10.1177/1538574411407088