Diagnosis and treatment of early-stage hepatic artery complications after orthotopic liver transplantation

VernacularTitle:肝移植术后早期动脉并发症的治疗与预后
Author: Xin ZHAO ; Mingfeng WANG ; Zhongkui JIN ; Hua FAN ; Xianliang LI ; Tianming WU ; Qiang HE ; Dazhi CHEN
Publication Type:Journal Article
Keywords: Orthotopic liver transplantation; Hepatic artery thrombosis; Hepatic artery stenosis; Primary liver carcinoma
From: Chinese Journal of Hepatobiliary Surgery 2011;17(11):902-904
CountryChina
Language:Chinese
Abstract: ObjectiveTo determine the risk factors and the optimal management of hepatic artery complications (HAC) after orthotopic liver transplantation.MethodsThe clinical data of 180 orthotopic liver transplantation patients performed between January 2005 and September 2007 was reviewed.The incidence of HAC between primary liver carcinoma and benign diseases of liver was compared.ResultsTwelve (6.7％) episodes of HAC were identified.3 were hepatic artery thrombosis (HAT) and 9 were hepatic artery stenosis (HAS).The incidence of HAC in patients with primary liver carcinoma (6/39) was higher than benign disease (6/141)(P＜0.05).ConclusionsThe keys to management of HAC after orthotopic liver transplantation are to diagnose the complication in time and to select the proper treatment based on the type of HAC.