Interventional therapy and complications after liver transplantation:the obstruction of the hepatic vein and inferior vena cava
- VernacularTitle:肝移植术后并发症与介入治疗 五、腔静脉、肝静脉梗阻
- Author:
Linsun LI
;
Haibin SHI
;
Linbo ZHAO
- Publication Type:Journal Article
- Keywords:
liver transplantation;
complication;
intervention;
hepatic vein;
inferior vena cava
- From:
Journal of Interventional Radiology
1994;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
The occurrence rate of the obstruction of the hepatic vein or the inferior vena cava is very low. Obstruction can develop acutely as a result of technical problems or can present itself much later after the transplantation due to intimal hyperplasia or perianastomotic fibrosis. Clinically, the common presentations include hepatic dysfunction, liver engorgement, ascites, abdominal pain, etc. Percutaneous endovascular treatment with balloon dilation or stent placement is a safe and effective alternative treatment, which can keep the vessels open for a long period of time. Angioplasty can achieve technical success in restoring anastomotic patency almost to 100% of cases, but, unfortunately, restenosis occurs frequently. For adult patients or pediatric patients with adult-sized hepatic veins, stenting seems to be the optimal choice.
