Hepatic artery stenosis after liver transplant, managed with percutaneous angioplasty and stent placement

Fareed Shaikh1, Joaquin Solis, Tanvir Bajwa

  • 1Aurora Sinai/Aurora St. Luke's Medical Centers, University of Wisconsin School of Medicine and Public Health-Milwaukee Clinical Campus, 2801 W. Kinnickinnic River Parkway #777, Milwaukee, WI 53215, USA.

Insights

Hepatic artery stenosis is a serious complication after liver transplants. Balloon angioplasty and stenting offer a successful percutaneous intervention for this condition.

Area of Science:

  • Vascular Surgery
  • Transplant Medicine
  • Interventional Radiology

Background:

  • Hepatic artery stenosis (HAS) is a significant vascular complication following orthotopic liver transplantation (OLT).
  • HAS can lead to severe morbidity and mortality in transplant recipients.
  • Early diagnosis and effective management are crucial for improving patient outcomes.

Observation:

  • A case report details a 50-year-old female patient who developed HAS post-OLT.
  • The patient presented with symptoms indicative of hepatic artery stenosis.
  • Diagnostic imaging confirmed the presence of significant stenosis in the hepatic artery.

Findings:

  • The patient underwent successful treatment with balloon angioplasty and stent placement.
  • Percutaneous intervention effectively restored blood flow through the hepatic artery.
  • The procedure resolved the stenosis and alleviated the patient's symptoms.

Implications:

  • Percutaneous intervention, such as angioplasty and stenting, is a viable and preferred treatment for HAS post-OLT.
  • This minimally invasive approach offers a less morbid alternative to surgical revascularization.
  • Highlighting successful percutaneous treatment reinforces its role in managing OLT vascular complications.

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