Premium
Surgical and endovascular treatment of hepatic arterial complications following liver transplant
Author(s) -
Chen Jun,
Weinstein Jeffrey,
Black Sylvester,
Spain James,
Brady Paul S.,
Dowell Joshua D.
Publication year - 2014
Publication title -
clinical transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 76
eISSN - 1399-0012
pISSN - 0902-0063
DOI - 10.1111/ctr.12431
Subject(s) - medicine , surgery , liver transplantation , arterial embolization , embolization , percutaneous , anastomosis , angioplasty , thrombolysis , pseudoaneurysm , etiology , thrombosis , transplantation , complication , radiology , cardiology , myocardial infarction
Vascular complications after liver transplantation increase post‐operative morbidity and contribute to the incidence of retransplantation. Vascular complications comprise arterial, caval, and portal venous pathology, with the majority of complications being arterial in etiology, including anastomotic stricture, pseudoaneurysm, and thrombosis. There are two major therapeutic options for the treatment of these arterial complications: endovascular intervention and surgery. The former includes intra‐arterial thrombolysis, embolization, percutaneous transluminal angioplasty, and stent placement. The latter includes thrombectomy, reanastomosis, and retransplantation. Although surgical treatment has been considered the first choice for management in the past, advances in endovascular intervention have increased and make it a viable therapeutic option following orthotopic liver transplantation. This review focuses on the role of surgical and endovascular therapy in the management of hepatic arterial complications after liver transplantation.