Open AccessTreatment of early hepatic artery complications after adult liver transplantation: A single center experience
Author(s) -
Attila Doros,
Balázs Nemes,
Z. Máthé,
Andrea H. Németh,
Erika Hartmann,
Ákos P. Deák,
Zs. F. Lénárd,
Dénes Görög,
Imre Fehérvári,
Zs. Gerlei,
János Fazakas,
Sz. Tóth,
László Kopper
Publication year - 2010
Publication title -
interventional medicine and applied science/interventional medicine and applied science
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.195
H-Index - 14
eISSN - 2061-5094
pISSN - 2061-1617
DOI - 10.1556/imas.2.2010.4.3
Subject(s) - medicine , liver transplantation , surgery , single center , complication , percutaneous , artery , transplantation , angioplasty , retrospective cohort study , stent , radiology
Introduction Hepatic artery complication represents recognized sequel of liver transplantation that carries significant morbidity and mortality. Besides retransplantation, hepatic artery recanalization is provided surgically, or by percutaneous angioplasty and stent placement. This study provides an analysis of a single center experience comparing surgical and interventional treatments in cases of early hepatic artery complications. Methods In this retrospective single center study, 25 of 365 liver transplant recipients were enrolled who developed early hepatic artery complication after transplantation. Percutaneous intervention was performed in 10 cases, while surgical therapy in 15 cases. Mean follow-up time was not different between the groups (505±377 vs. 706±940 days, respectively). Results 6 patients in the Intervention Group and 10 patients in the Surgery Group are alive. The retransplantation rate (1 and 3) was lower after interventional procedures, while the development of biliary complications was higher. The mortality rate was higher after operative treatment (2 and 5). Conclusion Interventional therapy is a feasible and safe technique for treatment of early hepatic artery complication after transplantation. Being less invasive it is an invaluable alternative treatment having results comparable to surgical methods.