PROLONGED GRAFT SURVIVAL AFTER TOTAL HEPATIC ARTERY OCCLUSION (HAO) COMPLICATING ORTHOTOPIC LIVER TRANSPLANTATION (OLT)

One of the most feared complications in liver transplantation is hepatic arterial thrombosis (HAT). The incidence of HAT in liver transplantation varies from 1.2% and 8%. One of the risk factors for this complication is anatomical complexity of hepatic arterial system. The focus of this short communication is to show our approach in dealing with aberrant left hepatic artery in settings of liver transplantation. This is a single center experience. Between January 2016 and June 2019, we procured and transplanted 357 adult liver allografts. Of these, there were 34 (9.5%) livers with aberrant left hepatic artery. All of them have been reconstructed on bench table. There was no incidence of HAT in the entire cohort with ALHA. The one-year graft survival for this patient cohort was 93.1%. Our surgical approach resulted in a low incidence of HAT of 1% with excellent graft survival.

Download Full-text

Improving the Specificity of CT Angiography for the Diagnosis of Hepatic Artery Occlusion after Liver Transplantation in Suspected Patients with Doppler Ultrasound Abnormalities

Korean Journal of Radiology ◽

10.3348/kjr.2021.0266 ◽

2022 ◽

Vol 23 (1) ◽

pp. 52

Author(s):

Jin Sil Kim ◽

Dong Wook Kim ◽

Kyoung Won Kim ◽

Gi Won Song ◽

Sung Gyu Lee

Keyword(s):

Liver Transplantation ◽

Hepatic Artery ◽

Ct Angiography ◽

Doppler Ultrasound ◽

Artery Occlusion

Download Full-text

Aprotinin has no significant effect on the rate of hepatic artery thrombosis, central venous complications or mortality in orthotopic liver transplantation (OLT) patients,

Reactions Weekly ◽

10.2165/00128415-200912690-00006 ◽

2009 ◽

Vol &NA; (1269) ◽

pp. 3

Author(s):

&NA;

Keyword(s):

Liver Transplantation ◽

Hepatic Artery ◽

Orthotopic Liver Transplantation ◽

Hepatic Artery Thrombosis ◽

Central Venous ◽

Artery Thrombosis

Download Full-text

Anastomosis of the Common Hepatic Artery and Round Ligament as Portal Vein Arterialization for Hepatic Artery Occlusion After Deceased Donor Liver Transplantation: A Case Report

Transplantation Proceedings ◽

10.1016/j.transproceed.2019.12.003 ◽

2020 ◽

Vol 52 (2) ◽

pp. 641-643

Author(s):

Shohei Yoshiya ◽

Tomoharu Yoshizumi ◽

Norifumi Iseda ◽

Kazuki Takeishi ◽

Takeo Toshima ◽

...

Keyword(s):

Liver Transplantation ◽

Case Report ◽

Hepatic Artery ◽

Deceased Donor ◽

Artery Occlusion ◽

Common Hepatic Artery ◽

Donor Liver ◽

Donor Liver Transplantation ◽

Portal Vein Arterialization ◽

The Common

Download Full-text

Contemporaneous Portal-Arterial Reperfusion during Liver Transplantation: Preliminary Results

Journal of Transplantation ◽

10.1155/2011/251656 ◽

2011 ◽

Vol 2011 ◽

pp. 1-4 ◽

Cited By ~ 7

Author(s):

G. L. Adani ◽

A. Rossetto ◽

V. Bresadola ◽

D. Lorenzin ◽

U. Baccarani ◽

...

Keyword(s):

Liver Transplantation ◽

Hepatic Artery ◽

Graft Survival ◽

Meld Score ◽

Warm Ischemia ◽

Biliary Strictures ◽

Arterial Revascularization ◽

Group 2 ◽

One Year ◽

Group 1

We prospectively compared sequential portal-arterial revascularization (SPAr, group 1 no. 19) versus contemporaneous portal-hepatic artery revascularization (CPAr, group 2 no. 21) in 40 consecutive liver transplantation (LT). There were no differences in the demographics characteristics, MELD score, indication to LT, and donor's parameters between the two groups. CPAr had longer warm ischemia66±8versus37±7min (P<.001), while SPAr had longer arterial ischemia103±42 min (P=.0004). One-year patient's and graft survival were, respectively, 89% and 95% versus 94% and 100% (P=.29). At median followup of13±6versus14±7months biliary complications were anastomotic stenosis in 15% versus 19% (P=.78), and intrahepatic nonanastomotic biliary strictures in 26% versus none (P=.01), respectively, in SPAr and CPAr. CPAr reduces the incidence of intrahepatic biliary strictures by decreasing the duration of arterial ischemia.

Download Full-text