Yanaga, K and Lebeau, G and Marsh, JW and Gordon, RD and Makowka, L and Tzakis, AG and Todo, S and Stieber, AC and Iwatsuki, S and Starzl, TE
(1990)
Hepatic Artery Reconstruction for Hepatic Artery Thrombosis After Orthotopic Liver Transplantation.
Archives of Surgery, 125 (5).
628 - 631.
ISSN 0004-0010
Abstract
We evaluated the efficacy of reconstruction of the hepatic artery for intraoperative or postoperative thrombosis in orthotopic liver transplantation. Of 37 grafts with artery thrombosis, 13 (35.1%, 6 intraoperative and 7 postoperative) underwent reconstruction of the hepatic artery. The arterial flow was reestablished and maintained in 5 (38.5%) of the 13. Recurrent thrombosis in the other 8 grafts developed 2 to 24 days (mean, 13.8 days) after transplantation. Reconstruction was successful in 50% (4/8) of the adults, compared with only 20% (1/5) of the children. Satisfactory results were obtained when a definitive cause of thrombosis could be identified. We conclude that early recognition and correction of the cause of hepatic artery thrombosis during or after orthotopic liver transplantation, especially in adults, is often a graft-saving and lifesaving procedure worthy of consideration. © 1990, American Medical Association. All rights reserved.
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Item Type: |
Article
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Status: |
Published |
Creators/Authors: |
Creators | Email | Pitt Username | ORCID |
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Yanaga, K | | | | Lebeau, G | | | | Marsh, JW | | | | Gordon, RD | | | | Makowka, L | | | | Tzakis, AG | | | | Todo, S | | | | Stieber, AC | | | | Iwatsuki, S | | | | Starzl, TE | tes11@pitt.edu | TES11 | |
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Centers: |
Other Centers, Institutes, Offices, or Units > Thomas E. Starzl Transplantation Institute |
Date: |
1 January 1990 |
Date Type: |
Publication |
Journal or Publication Title: |
Archives of Surgery |
Volume: |
125 |
Number: |
5 |
Page Range: |
628 - 631 |
DOI or Unique Handle: |
10.1001/archsurg.1990.01410170076016 |
Institution: |
University of Pittsburgh |
Refereed: |
Yes |
ISSN: |
0004-0010 |
Other ID: |
uls-drl:31735062110873, Starzl CV No. 1045 |
Date Deposited: |
08 Apr 2010 17:17 |
Last Modified: |
05 Feb 2019 11:55 |
URI: |
http://d-scholarship.pitt.edu/id/eprint/4431 |
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