Interventional therapy for acute hepatic artery thrombosis after liver transplantation
10.3969/j.issn.1672-8467.2017.02.009
- VernacularTitle:肝移植术后急性肝动脉血栓形成的介入治疗
- Author:
Hua ZHANG
;
Jianhua WANG
;
Zhiping YAN
;
Jiemin CHENG
;
Rong LIU
;
Sheng QIAN
;
Jian ZHOU
- Keywords:
liver transplantation;
acute hepatic artery thrombosis;
interventional treatment
- From:
Fudan University Journal of Medical Sciences
2017;44(2):181-185,212
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the short-term and long-term efficacy of interventional therapy for acute hepatic artery thrombosis.Methods We analyzed retrospectively the interventional treatment and long-term follow-up data of 34 patients with acute hepatic artery thrombosis in Zhongshan hospital of Fudan University from March 2003 to October 2015.Results Thirty-four patients with acute hepatic artery thrombosis were performed with urokinase thrombolytic therapy.Twenty-one patients were implanted stents in the thrombolytic therapy.Splenic artery embolization were performed in 3 patient with splenic artery steal syndrome.Technical and clinical success rates were 91％ (31/34).The complication associated with interventional procedures were observed in 2 patients.The patency rates of hepatic artery in 1,2,3 and 5 years were 82％,73％,57％ and 57％ respectively.The median obstruction free time was 94 months.Conclusions Good short-term and long-term effect have been obtained in interventional treatment for acute hepatic artery thrombosis,which can be used as the first treatment for acute hepatic artery thrombosis after liver transplantation.
