Interventional treatment of acute hepatic artery occlusion after liver transplantation

Zhi-Wei Li1, Mao-Qiang Wang, Ning-Xin Zhou

  • 1Department of General Surgery, Dongguan Kanghua Hospital, Dongguan 523080, China. lizhiwei67@126.com

Insights

Interventional therapy effectively treats acute hepatic artery occlusion after liver transplantation. Angiography is crucial for diagnosing these complications, ensuring graft patency and avoiding re-transplantation.

Area of Science:

  • Vascular Surgery
  • Transplant Surgery
  • Interventional Radiology

Background:

  • Interventional treatment is increasingly used for hepatic artery occlusion.
  • Acute hepatic artery occlusion is a significant complication following liver transplantation.

Purpose of the Study:

  • To evaluate the diagnostic and therapeutic role of interventional methods for acute hepatic artery occlusion post-liver transplantation.

Main Methods:

  • Retrospective analysis of 9 cases with acute hepatic artery occlusion after liver transplantation.
  • Diagnosis confirmed by angiography and Doppler ultrasound.
  • Interventional treatments included transcatheter thrombolysis and hepatic artery stent placement.

Main Results:

  • Angiography diagnosed 9 cases; Doppler ultrasound identified 7.
  • Transcatheter thrombolysis restored partial or total patency in 6 cases.
  • Hepatic artery stent placement in 5 cases resulted in maintained patency, avoiding re-transplantation.

Conclusions:

  • Angiography is vital for diagnosing hepatic artery complications post-liver transplantation.
  • Interventional therapy offers a valuable treatment for acute hepatic artery occlusion, preserving liver allografts.
Abstract

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