Skip to main content
Log in

Stent-Graft for the Management of Hepatic Artery Rupture Subsequent to Transcatheter Thrombolysis and Angioplasty in a Liver Transplant Recipient

  • Case Report
  • Published:
CardioVascular and Interventional Radiology Aims and scope Submit manuscript

Abstract

Arterial rupture subsequent to angioplasty occurs in about 5% of cases. Thrombolysis with re-establishment of flow without resolving underlying anatomic defects such as hepatic arterial stenosis leads to re-thrombosis. We present a case of arterial anastomotic rupture after thrombolysis and angioplasty of an underlying anastomotic hepatic arterial stenosis. Both the underlying anatomic defect and the rupture were resolved successfully with placement of a stent-graft, with a resultant patent artery for 1 year after the procedure.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Orons PD, Zajko AB, Bron KM, Trecha GT, Selby RR, Fung JJ (1995) Hepatic artery angioplasty after liver transplantation: Experience in 21 allografts. J Vasc Interv Radiol 6:523–529

    Article  PubMed  CAS  Google Scholar 

  2. Saad WE, Davies MG, Sahler L, Lee DE, Patel NC, Kitanosono T, et al. (2005) Hepatic artery stenosis in liver transplant recipients: Primary treatment with percutaneous transluminal angioplasty. J Vasc Interv Radiol 16:795–805

    PubMed  Google Scholar 

  3. Kodama Y, Sakuhara Y, Abo D, Shimamura T, Furukawa H, Todo S, Miyasaka K (2006) Percutaneous transluminal angioplasty for hepatic artery stenosis after living donor liver transplantation. Liver Transplant 12:465–469

    Article  Google Scholar 

  4. Langnas AN, Marujo W, Stratta RJ, Wood RP, Shaw BW Jr (1991) Vascular complications after orthotopic liver transplantation. Am J Surg 161:76–82; discussion 82–83

    Article  PubMed  CAS  Google Scholar 

  5. Saad WE, Davies MG, Saad NE, Westesson KE, Patel NC, Sahler LG, et al. (2007) Catheter thrombolysis of thrombosed hepatic arteries in liver transplant recipients: Predictors of success and role of thrombolysis. Vasc Endovasc Surg 41:19–26

    Article  Google Scholar 

  6. Cotroneo AR, Di Stasi C, Cina A, De Gaetano AM, Evangelisti R, Paloni F, et al. (2002) Stent placement in four patients with hepatic artery stenosis or thrombosis after liver transplantation. J Vasc Interv Radiol 13:619–623

    Article  PubMed  Google Scholar 

  7. Sheiner PA, Varma CV, Guarrera JV, Cooper J, Garatti M, Emre S, et al. (1997) Selective revascularization of hepatic artery thromboses after liver transplantation improves patient and graft survival. Transplantation 64:1295–1299

    Article  PubMed  CAS  Google Scholar 

  8. Briguori C, Nishida T, Anzuini A, Di Mario C, Grube E, Colombo A (2000) Emergency polytetrafluoroethylene-covered stent implantation to treat coronary ruptures. Circulation 102:3028–3031

    PubMed  CAS  Google Scholar 

  9. Boyvat F, Aytekin C, Karakayali H, Ozyer U, Sevmis S, Emiroglu R, et al. (2006) Stent placement in pediatric patients with hepatic artery stenosis or thrombosis after liver transplantation. Transplant Proc 38:3656–3660

    Article  PubMed  CAS  Google Scholar 

  10. Denys AL, Qanadli SD, Durand F, Vilgrain V, Farges O, Belghiti J, et al. (2002) Feasibility and effectiveness of using coronary stents in the treatment of hepatic artery stenoses after orthotopic liver transplantation: Preliminary report. AJR Am J Roentgenol 178:1175–1179

    PubMed  Google Scholar 

  11. Ueno T, Jones G, Martin A, Ikegami T, Sanchez EQ, Chinnakotla S, et al. (2006) Clinical outcomes from hepatic artery stenting in liver transplantation. Liver Transplant 12:422–427

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Koichiro Yamakado.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Yamakado, K., Nakatsuka, A., Takaki, H. et al. Stent-Graft for the Management of Hepatic Artery Rupture Subsequent to Transcatheter Thrombolysis and Angioplasty in a Liver Transplant Recipient. Cardiovasc Intervent Radiol 31 (Suppl 2), 104–107 (2008). https://doi.org/10.1007/s00270-007-9188-1

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00270-007-9188-1

Keywords

Navigation