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Vascular complications after liver transplantation: A 5-year experience

Wozney, P and Zajko, AB and Bron, KM and Point, S and Starzl, TE (1986) Vascular complications after liver transplantation: A 5-year experience. American Journal of Roentgenology, 147 (4). 657 - 663. ISSN 0361-803X

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Abstract

During the past 5 years, 104 angiographic studies were performed in 87 patients (45 children and 42 adults) with 92 transplanted livers for evaluation of possible vascular complications. Seventy percent of the studies were abnormal. Hepatic artery thrombosis was the most common complication (seen in 42% of children studied, compared with only 12% of adults) and was a major complication that frequently resulted in graft failure, usually necessitating retransplantation. In six children, reconstitution of the intrahepatic arteries by collaterals was seen. Three survived without retransplant. Arterial stenosis at the anastomosis or in the donor hepatic artery was observed in 11% of patients. Portal vein thrombosis or stenosis occurred in 13% of patients. Two children and one adult with portal vein thrombosis demonstrated hepatopetal collaterals that reconstituted the intrahepatic portal vessels. Uncommon complications included anastomotic and donor hepatic artery pseudoaneurysms, a hepatic artery-dissecting aneurysm, pancreaticoduodenal mycotic aneurysms, hepatic artery-portal vein fistula, biliary-portal vein fistula, hepatic vein occlusion, and inferior vena cava thrombosis.


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Details

Item Type: Article
Status: Published
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Wozney, P
Zajko, AB
Bron, KM
Point, S
Starzl, TEtes11@pitt.eduTES11
Centers: Other Centers, Institutes, or Units > Thomas E. Starzl Transplantation Institute
Date: 1 January 1986
Date Type: Publication
Journal or Publication Title: American Journal of Roentgenology
Volume: 147
Number: 4
Page Range: 657 - 663
DOI or Unique Handle: 10.2214/ajr.147.4.657
Institution: University of Pittsburgh
Refereed: Yes
ISSN: 0361-803X
Other ID: uls-drl:31735062119635, Starzl CV No. 679
Date Deposited: 08 Apr 2010 17:11
Last Modified: 09 Dec 2017 12:55
URI: http://d-scholarship.pitt.edu/id/eprint/4065

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