Open AccessCatheter directed hepatic artery thrombolysis following liver transplantation. Case report and review of the literature
Author(s) -
Miguel Ángel Carrillo-Martínez,
Carlos Rodríguez-Montalvo,
Eduardo Flores-Villaba,
Lucas Tijerina-Gómez,
Francisco Edgardo Puente-Gallegos,
Samuel Eugene Kettenhofen,
German Alfonso Garza-García
Publication year - 2019
Publication title -
bjr case reports
Language(s) - English
Resource type - Journals
ISSN - 2055-7159
DOI - 10.1259/bjrcr.20190005
Subject(s) - medicine , revascularization , liver transplantation , thrombosis , thrombolysis , surgery , complication , orthotopic liver transplantation , transplantation , artery , catheter , cardiology , myocardial infarction
Hepatic artery thrombosis is the most frequent vascular complication following orthotopic liver transplantation, and often results in biliary complications, early graft loss and death. Surgical revascularization and retransplantation are considered the mainstay of treatment. However, intraarterial endovascular therapy is an alternative that has shown low morbidity and mortality, thereby avoiding the need for retransplantation. We describe a case of orthotopic liver transplantation complicated with hepatic artery thrombosis that was successfully treated with endovascular therapy.