Endovascular treatment of aorto-hepatic bypass thrombosis following liver transplantation

Česká verzia

Authors: M. Ondruška ¹; J. Janek ¹; R. Kminiak ¹; Z. Opravil ²
Authors place of work: Oddelenie cievnej chirurgie, Fakultná nemocnica s poliklinikou F. D. Roosevelta, Banská Bystrica ¹; Oddelenie rádiológie, Fakultná nemocnica s poliklinikou F. D. Roosevelta, Banská Bystrica ²
Published in the journal: Rozhl. Chir., 2019, roč. 98, č. 10, s. 418-421.
Category: Case Report

Summary

Hepatic artery thrombosis is the most common vascular complication after liver transplantation. Early thrombosis is treated by surgical revascularization; if not feasible, there is need for urgent retransplantation. Late thrombosis is diagnosed mostly when clinical symptoms or graft dysfunction are present, in which case the only possible therapy is retransplantation. We present a case of a young patient with late thrombosis of an aorto-hepatic bypass, in whom we successfully used thrombolytic therapy with stent-graft placement.

Keywords:

intra-arterial thrombolysis – hepatic artery thrombosis – liver transplantation – endovascular therapy

Zdroje

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