Treatment of early hepatic artery complications after adult liver transplantation: A single center experience

A. Doros, B. Nemes, Z. Máthé, A. Németh, E. Hartmann, Á P. Deák, Z. Lénárd, D. Görög, I. Fehérvári, Zs Gerlei, J. Fazakas, Sz Tóth, L. Kóbori

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Hepatic artery complication represents recognized sequel of liver transplantation that carries significant morbidity and mortality. Besides retransplantation, hepatic artery recanalization is provided surgically, or by percutaneous angioplasty and stent placement. This study provides an analysis of a single center experience comparing surgical and interventional treatments in cases of early hepatic artery complications. Methods: In this retrospective single center study, 25 of 365 liver transplant recipients were enrolled who developed early hepatic artery complication after transplantation. Percutaneous intervention was performed in 10 cases, while surgical therapy in 15 cases. Mean follow-up time was not different between the groups (505±377 vs. 706±940 days, respectively). Results: 6 patients in the Intervention Group and 10 patients in the Surgery Group are alive. The retransplantation rate (1 and 3) was lower after interventional procedures, while the development of biliary complications was higher. The mortality rate was higher after operative treatment (2 and 5). Conclusion: Interventional therapy is a feasible and safe technique for treatment of early hepatic artery complication after transplantation. Being less invasive it is an invaluable alternative treatment having results comparable to surgical methods.

Original languageEnglish
Pages (from-to)159-164
Number of pages6
JournalInterventional Medicine and Applied Science
Volume2
Issue number4
DOIs
Publication statusPublished - Dec 1 2010

Fingerprint

Hepatic Artery
Liver Transplantation
Therapeutics
Transplantation
Mortality
Angioplasty
Stents
Morbidity
Liver

Keywords

  • arterial complication
  • liver transplantation
  • percutaneous transluminal angioplasty
  • surgical thrombectomy

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Treatment of early hepatic artery complications after adult liver transplantation : A single center experience. / Doros, A.; Nemes, B.; Máthé, Z.; Németh, A.; Hartmann, E.; Deák, Á P.; Lénárd, Z.; Görög, D.; Fehérvári, I.; Gerlei, Zs; Fazakas, J.; Tóth, Sz; Kóbori, L.

In: Interventional Medicine and Applied Science, Vol. 2, No. 4, 01.12.2010, p. 159-164.

Research output: Contribution to journalArticle

Doros, A, Nemes, B, Máthé, Z, Németh, A, Hartmann, E, Deák, ÁP, Lénárd, Z, Görög, D, Fehérvári, I, Gerlei, Z, Fazakas, J, Tóth, S & Kóbori, L 2010, 'Treatment of early hepatic artery complications after adult liver transplantation: A single center experience', Interventional Medicine and Applied Science, vol. 2, no. 4, pp. 159-164. https://doi.org/10.1556/IMAS.2.2010.4.3
Doros, A. ; Nemes, B. ; Máthé, Z. ; Németh, A. ; Hartmann, E. ; Deák, Á P. ; Lénárd, Z. ; Görög, D. ; Fehérvári, I. ; Gerlei, Zs ; Fazakas, J. ; Tóth, Sz ; Kóbori, L. / Treatment of early hepatic artery complications after adult liver transplantation : A single center experience. In: Interventional Medicine and Applied Science. 2010 ; Vol. 2, No. 4. pp. 159-164.
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