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Angiography of liver transplantation patients

Zajko, AB and Bron, KM and Starzl, TE and Van Thiel, DH and Gartner, JC and Iwatsuki, S and Shaw, BW and Zitelli, BJ and Malatack, JJ and Urbach, AH (1985) Angiography of liver transplantation patients. Radiology, 157 (2). 305 - 311. ISSN 0033-8419

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Abstract

Over 45 months, 119 angiographic examinations were performed in 95 patients prior to liver transplantation, and 53 examinations in 44 patients after transplantation. Transplantation feasibility was influenced by patency of the portal vein and inferior vena cava. Selective arterial portography, wedged hepatic venography, and transhepatic portography were used to assess the portal vein if sonography or computed tomography was inconclusive. Major indications for angiography after transplantation included early liver failure, sepsis, unexplained elevation of liver enzyme levels, and delayed bile leakage, all of which may be due to hepatic artery thrombosis. Other indications included gastrointestinal tract bleeding, hemobilia, and evaluation of portal vein patency in patients with chronic rejection who were being considered for retransplantation. Normal radiographic features of hepatic artery and portal vein reconstruction are demonstrated. Complications diagnosed using results of angiography included hepatic artery or portal vein stenoses and thromboses and pancreaticoduodenal aneurysms. Intrahepatic arterial narrowing, attenuation, slow flow, and poor filling were seen in five patients with rejection.


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Details

Item Type: Article
Status: Published
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Zajko, AB
Bron, KM
Starzl, TEtes11@pitt.eduTES11
Van Thiel, DH
Gartner, JC
Iwatsuki, S
Shaw, BW
Zitelli, BJ
Malatack, JJ
Urbach, AH
Centers: Other Centers, Institutes, or Units > Thomas E. Starzl Transplantation Institute
Date: 1 January 1985
Date Type: Publication
Journal or Publication Title: Radiology
Volume: 157
Number: 2
Page Range: 305 - 311
DOI or Unique Handle: 10.1148/radiology.157.2.3901102
Institution: University of Pittsburgh
Refereed: Yes
ISSN: 0033-8419
Other ID: uls-drl:31735062115708, Starzl CV No. 607
Date Deposited: 08 Apr 2010 17:10
Last Modified: 26 Jan 2019 10:55
URI: http://d-scholarship.pitt.edu/id/eprint/3993

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