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Hepatic Artery Reconstruction for Hepatic Artery Thrombosis After Orthotopic Liver Transplantation

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

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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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Details

Item Type: Article
Status: Published
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Yanaga, K
Lebeau, G
Marsh, JW
Gordon, RD
Makowka, L
Tzakis, AG
Todo, S
Stieber, AC
Iwatsuki, S
Starzl, TEtes11@pitt.eduTES11
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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