Primary Angioplasty Or Stenting For Hepatic Artery Stenosis Treatment After Liver Transplantation
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IMAGING OF LIVER TRANSPLANTATION RADIOLOGICAL
HEPATIC ARTERY THROMBOSIS (HAT) Most common vascular complication. HAT can occur early (within 1 2 months) or late from LT. Hepatic artery remains the only blood supply to the bile ducts Thus, HAT causes biliary ischemia and hepatic necrosis, which in turn translate into bile leak, sepsis and graft failure.
Technical Considerations in Liver Transplantation
liver is pre-perfused with Lactate Ringer or albumin to decrease risk. 4. End-to-end hepatic artery anastomosis. In celiac axis stenosis: use a donor iliac artery conduit graft from infrarenal or supra-celiac aorta, to the donor s HA. Do not use artificial grafts (high risk for thrombosis or infection).
Paediatric liver transplantation in Johannesburg revisited
liver disease, but also those patients requiring urgent transplantation for fulminant hepatic failure (FHF) and retransplant for graft failure. Furthermore, the service excluded transplantation of state patients. Several interventions have culminated in resolving many of these issues. In 2012, the services of a dedicated paediatric hepatologist,
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The Role of the Interventional Cardiologist in the Treatment
Compression the right iliac artery to left iliac vein Three times more common in women than in men Second to fourth decades DVT and risk of PE Treatment ATP stent Budnur SC, et al. Cardiovasc Interv Ther. 2013 Jan;28(1):101-5. Gil Martín AR, et al., Radiologia. 2012 May 21. Wednesday, March 13, 13
Intention‐to‐Treat Analysis of Percutaneous Endovascular
Liver Transplantation 22 923-933 2016 AASLD. Received December 20, 2015; accepted March 16, 2016. SEE EDITORIAL ON PAGE 884 Hepatic artery stenosis (HAS) after liver transplanta-tion (LT) usually has a subclinical presentation and manifests as an insidious form of graft dysfunction.(1,2) Untreated stenosis may progress to hepatic artery
Hepatic Artery Interventions in the Transplant Patient
anastomosis between the donor hepatic artery and the celiac axis stem or common hepatic artery stem is performed.3,5 Although when circumstances arise that prohibit this portion of the procedure, an interposition conduit may be used. Often this is due to a donor hepatic artery that is too Keywords transplant hepatic artery intervention
Case Report Arterial grafts as a conduit in inflow
artery after post-transplantation hepatic artery angioplasty and we did second round of hepat-ic artery thrombolysis. At POD 8, 9 and 13, DSA angiography suggested clear common hepatic artery, proper hepatic artery, left and right hepatic artery, slow blood flow, small artery of left lobe of liver, and fluent stent of common
Thrombolysis and Transjugular Intrahepatic Portosystemic
liver intestine transplantation is an option for extensive portomesenteric venous thrombosis. However, surgery in the absence of acute complications carries a higher risk of morbidity and mortality as well as recurrent thrombosis. Systemic Anticoagulation The primary treatment of choice for acute and subacute
Management of the liver transplant patient
short-term survival after liver transplantation with or without angioplasty and/or stenting, or operative thromb- treatment of hepatic artery thrombosis after liver transplantation.
Subintimal angioplasty after late thrombosis of hepatic
The authors report a case of stenosis of a transplant hepatic artery, treated with percutaneous transluminal angioplasty and stenting, that progressed to occlusion 30 days after the procedure. Intra-arterial thrombolysis and subintimal percutaneous angioplasty were successfully performed.
Transjugular intrahepatic portosystemic shunt (TIPS); review
infarction and expired after 3 days of the procedure. Average follow-up was 312 days. Mean primary shunt patency was 306.62 days (range 3-1801 days). During follow-up stent stenosis or occlusion occurred in 31.25 % (n = 5). 2 patients underwent successful angioplasty while in other 2 patients shunt patency was satisfactorily restored by re
Surgical complications of liver transplantation
Hepatic vein thrombosis or stenosis has an incidence of 1% to 5 % and this is due to intimal hyperplasia. The patients present with Budd Chiari, extremity edema, ascites and dyspnea. Angioplasty, stenting and surgical revision are ways to treat this. Portal vein As in the caval anastomoses, the goal is to prevent poor
LONG-TERM FOLLOW UP AFTER ENDOVASCULAR TREATMENT OF HEPATIC
lasting primary patency. INTRODUCTION: Liver transplantation (LT) is the treatment of choice for patients with end-stage chronic liver disease, early stages of liver cancer and fulminant hepatic failure. Over the past 4 decades, the surgical technique has evolved significantly, with a concomitant fall in morbidity and mortality .
Interventional radiology - The Lancet
Angioplasty and metallic stenting is under investigation for primary treatment of internal carotid artery stenosis. CAVATAS8 is a selective randomised study of angioplasty and stenting versus conventional surgery for carotid stenosis. Intracranial angioplasty with or without papaverine is also used for
Interventional Radiology in the Management of Complications
Orons PD, Zajko AB, Bron KM, et al. Hepatic angioplasty after liver transplantation: experience in 21 allografts. J Vasc Interv Radiol 1995;6(4):523-529. Kodama Y, Sakuhara Y, Abo D, et al. Percutaneous transluminal angioplasty for hepatic artery stenosis after living donor liver transplantation. Liver Transpl 2006;12: 465-469
David A. Axelrod M.D. M.B.A. Fellow in Transplant Surgery
K, Abecessis M. Safety and Efficacy of Combined Orthotopic Liver Transplantation and Coronary Artery Bypass Grafting. Liver Transplantation. 2004;10:1386-90. Axelrod, DA. Guidinger MK. Leichtman AB Punch JD. Merion RM. Association of Center Volume with Outcome After Liver and Kidney Transplantation. American Journal of Transplantation. 2004; 4
Primary stent placement for hepatic artery stenosis after
From the Southern Association for Vascular Surgery Primary stent placement for hepatic artery stenosis after liver transplantation Linda Le, MD, William Terral, MD, Nicolas Zea, MD, Hernan A. Bazan, MD, Taylor A. Smith, MD,
Liver Transplantation - Avera Health
Liver Transplantation- Indications Viral diseases Other Primary Liver diseases Neoplasms: -HCC -Cholangiocarcinoma -Neuroendocrine tumors - Liver Transplantation Surgical Technique Infra-hepatic cava to cava anastomosis. The portal vein is flushed during suturing the cava anterior wall Technique for portal vein reconstruction with a donor
ISSN 1948-5182 (online) World Journal of Hepatology
Effect of zinc treatment on clinical outcomes in patients with liver cirrhosis: A systematic review and meta-analysis 389 Tan HK, Streeter A, Cramp ME, Dhanda AD CASE REPORT Diagnosis and management of hepatic artery in-stent restenosis after liver transplantation by optical coherence tomography: A case report 399
0531 Balloon-Expandable Venous Stents (1)
with irreversible hepatic damage require definitive treatment, such as orthotopic liver transplantation. For the acute or subacute forms, characterized by reversible hepatic injury, a porto-systemic shunt represents the most effective treatment. The patients at poor hepatic risk can be treated by balloon-expandable stents.
PD Dr. med. Stefan Farkas, MBA - UKR
protocols in liver transplantation Transplant Int 2009 Jan (1), 49-58 21) A Obed, D C Uihlein, N Zorger, S Farkas, M N Scherer, B Krüger, B Banas, B K Krämer, Severe renal vein stenosis of a kidney transplant with beneficial clinical course after successful
Stent placement versus angioplasty for hepatic artery
Stent placement versus angioplasty for hepatic artery stenosis after liver transplant: a meta-analysis of case series plication of liver transplantation but data on the most effec
Review Open Access Interventional radiology for post
hepatic vein, portal vein, and biliary tract after living donor liver transplantation (LDLT) is described. As a number of patients with LDLT are infants < 10-year-old in the study, the first treatment option was balloon dilatation, not primary stenting. However, stent placement was performed in patients with recurrent, repeated stenosis. Key words:
Portal Vein Stenosis and Occlusion Stenting After Liver
Boyer L. Portal vein stenosis and occlusion stenting after liver transplantation in two adults. Acta Radiol 2006;47:130 134. We report two cases of percutaneous transhepatic stenting of the portal vein to treat stenosis and occlusion disclosed 5 and 18 months, respectively, after orthotopic liver transplantation in two adult patients.
Use of Coronary Techniques in Celiac and Hepatic Artery
Hepatic artery stenosis (HAS) remains a rare but serious complication after liver transplantation. While invasive surgical techniques were needed for HAS treatment in the past, recently endovascular techniques, including hepatic artery stenting, have been proven to be a safe and effective treatment.
Complications after endovascular treatment of hepatic artery
Background: Hepatic artery stenosis (HAS) after liver transplantation can progress to hepatic artery thrombosis (HAT) and a subsequent 30% to 50% risk of graft loss. Although endovascular treatment of severe HAS after liver transplantation has emerged as the dominant method of treatment, the potential risks of these interventions are poorly
Open Access Successful a s p i re ASPIRE for end-stage liver
hepatic artery, the portal vein and middle and left hepatic vein were sutured and cut. e graft was ushed with heparin immediately and perfused with HTK solution via the portal vein. In the recipients, after liver mobilization and chole-cystectomy, the liver hilum was dissected, and the main portal vein and left liver artery were isolated; then, the
Long-term follow-up after endovascular treatment of hepatic
Hepatic venous outﬂow obstruction (HVOO) is a rare complication after liver transplantation (LT) associated with signiﬁcant morbidity and reduced graft survival. Endovascular intervention has become the ﬁrst-line treatment for HVOO, but data on long-term outcomes are lacking. We have analysed outcomes after endovascular intervention for
Clinical Policy Title: Endovenous stents
Congenital or acquired pulmonary artery stenosis or hypoplasia. Pulmonary vein stenosis as a result of external compression or following radiofrequency ablation, lung transplantation, or surgical repair for anomalous pulmonary vein connections. Isolated congenital pulmonary vein stenosis. Policy contains: Balloon-expandable stent.
Clinical Policy Title: Endovenous stents
Aug 11, 2020 Congenital or acquired pulmonary artery stenosis or hypoplasia. Pulmonary vein stenosis as a result of external compression or following radiofrequency ablation, lung transplantation, or surgical repair for anomalous pulmonary vein connections. Policy contains: Balloon-expandable stent. Chronic venous disease and insufficiency.
SUPPLEMENTARY MATERIAL. Legend to supplementary figures
Aug 21, 2014 18-75 years, diabetes mellitus, stenosis >50%, H2.5 mm Ø Unprotected left main, contraindication to DAPT, LVEF <30%, leucopenia, thrombocytopenia, hepatic dysfunction, chronic kidney disease, life expectancy <1 year, primary angioplasty for acute myocardial infarction within 24h EXCELLENT  2.25-4.25 mm Ø, >50% stenosis, evidence of
Journal of Patient-Centered Research and Reviews
result of a stenosis at the cardiac device entry site, or even complete thrombosis of the subclavian vein. In an extensive and comprehensive review of this important topic, Drs. Brian O Leary and Suhail Allaqaband offer a well-illustrated safe and effective treatment using balloon angioplasty and stenting. 2. Currently, most abdominal aortic
Feasibility and Effectiveness of Using Coronary Stents in the
nary stents for the treatment of hepatic artery stenosis after liver transplantation. CONCLUSION. Hepatic artery stenosis after liver transplantation can be treated using coronary stents. The low rate of complication, high technical success, and 1-year patency rates are encouraging. iver graft ischemia caused by he-patic artery thrombosis is
Utilizing devices from interventional radiology in congenital
The primary devices missing from the armamentarium of transcatheter treatment of congenital heart disease are covered stents appropriately sized for use in children and adolescents. Covered stents are incredibly useful in the treatment of pulmonary artery stenosis, aortic coarctations, and especially for
W J T World Journal of Transplantation
heart coronary artery disease, hepatic artery stenosis post liver transplantation, etc. Antiproliferative drugs used in DES are also used for post-transplant immunosuppression. Dalal A. Organ transplantation and drug eluting stents: Perio-perative challenges. World J Transplant 2016; 6(4): 620-631
Volume 2, Issue 2 AND POLICY UPDATE www.amerihealth.com/medpolicy
Atherectomy, angioplasty, and stenting are transluminal intracoronary interventions that were developed to prevent or delay coronary artery bypass grafting.These percutaneous therapeutic options are used to manage patients with angina and/or evolving myocardial infarction caused by coronary artery stenosis. Atherectomy involves
Clinical Outcomes From Hepatic Artery Stenting in Liver
reconstruction for hepatic artery stenosis. The mean duration between the arterial revision surgery and sub-sequent stenting was 73 days (range, 13-221 days). Seventeen patients presented newly developed hepatic artery stenosis after liver transplantation. For this study all angiograms were reviewed by one of the authors (G.J.).
table of contents (1st pg is 4-color)
Comparative analysis of celiac versus mesenteric artery outcomes after angioplasty and stenting 1062 Sadaf S. Ahanchi, MD, Christopher L. Stout, MD, Tyler J. Dahl, BBmE, Rebecca L. Carty, MD, Cory A. Messerschmidt, BS, and Jean M. Panneton, MD, Norfolk, Va Endovascular treatment of hepatic artery stenosis after liver transplantation 1067
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Kidney Transplantation Locally Ablative Techniques for Treating Primary and Metastatic Liver Malignancies Lung Volume Reduction Surgery Mandibular/Maxillary (Orthognathic) Surgery Manipulation Under Anesthesia of the Spine and Joints other than the Knee Mastectomy for Gynecomastia Maze Procedure Medical Specialty Drug Reviews (non-oncology)