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Percutaneous Transluminal Angioplasty of Hepatic Artery Stenosis in Patients After Orthotopic Liver Transplantation: Mid-term Results

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An Erratum to this article was published on 02 June 2011

Abstract

Purpose

This study was designed to present our experience with percutaneous treatment of hepatic artery stenosis in orthotopic liver transplant patients and to evaluate the efficacy, technical outcomes, and mid-term clinical results of the procedure.

Methods

Twenty-two percutaneous transluminal angioplasties (PTAs) were performed in 19 liver transplant recipients at our institution between 1998 and 2010. Stents were placed into the hepatic/celiac artery in 16 PTAs, but balloon dilatation alone was performed in 6 because of the anatomical condition of the vessel. PTA/stenting was indicated in 17 patients because of elevated liver enzymes; 2 patients were asymptomatic. The objective of treating stenosis was prevention of long-term complications, including thrombosis.

Results

Technical success was achieved in all patients. There was only one complication: dissection of the treated artery without any subsequent adverse effects. In all patients, elevated liver enzyme levels improved after treatment. No restenosis was observed in any patient during a mean follow-up of 2.6 years (1 month to 5.5 years).

Conclusions

Percutaneous angioplasty/stent placement is a safe method for the treatment of hepatic artery stenosis after orthotopic liver transplantation, with a high technical success rate and promising mid-term results.

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References

  1. Cheng YF, Chen CL, Chen YS et al (2000) Interventional radiology in the treatment of post-liver transplant complications. Transplant Proc 32:2196–2197

    Article  PubMed  CAS  Google Scholar 

  2. Da Silva RF, Raphe R, Felício HC et al (2008) Prevalence, treatment, and outcomes of the hepatic artery stenosis after liver transplantation. Transplant Proc 40:805–807

    Article  PubMed  CAS  Google Scholar 

  3. Saad WEA (2007) Management of hepatic artery steno-occlusive complications after liver transplantation. Tech Vasc Interv Radiol 10:207–220

    Article  PubMed  Google Scholar 

  4. Boyvat F, Aytekin C, Harman A et al (2008) Endovascular stent placement in patients with hepatic artery stenoses or thromboses after liver transplant. Transplant Proc 40:22–26

    Article  PubMed  CAS  Google Scholar 

  5. Bekker J, Ploem S, De Jong KP (2009) Early hepatic artery thrombosis after liver transplantation: a systematic review of the incidence, outcome and risk factors. Am J Transplant 9:746–757

    Article  PubMed  CAS  Google Scholar 

  6. Hoffer FA, Littlewood Teele R, Lillehei CW et al (1998) Infected bilomas and hepatic artery thrombosis in infant recipients of liver transplants. Radiology 169:435–438

    Google Scholar 

  7. Ueno T, Jones G, Martin A et al (2006) Clinical outcomes from hepatic artery stenting in liver transplantation. Liver Transpl 12:422–427

    Article  PubMed  Google Scholar 

  8. Orons PD, Sheng R, Zajko AB (1995) Hepatic artery stenosis in liver transplant recipients: prevalence and cholangiographic appearance of associated biliary complications. AJR Am J Roentgenol 165:1145–1149

    PubMed  CAS  Google Scholar 

  9. Yang Y, Hua L, Bin-sheng FU et al (2008) Hepatic artery complications after orthotopic liver transplantation: interventional treatment or retransplantation? Chin Med J 121(20):1997–2000

    PubMed  Google Scholar 

  10. Miraglia R, Maruzzelli L, Caruso S et al (2009) Interventional radiology procedures in adult patients who underwent liver transplantation. World J Gastroenterol 15:684–693

    Article  PubMed  Google Scholar 

  11. Kodama Y, Sakuhara Y, Abo D et al (2006) Percutaneous transluminal angioplasty for hepatic artery stenosis after living donor liver transplantation. Liver Transpl 12:465–469

    Article  PubMed  Google Scholar 

  12. Jiang Z, Liang T, Feng X et al (2008) Arcuate ligament syndrome including hepatic artery thrombosis after liver transplantation. Hepatobiliary Pancreat Dis Int 7(4):433–436

    PubMed  Google Scholar 

  13. Chen GH, Wang GY, Yang Y et al (2009) Single-centre experience of therapeutic management of hepatic artery stenosis after orthotopic liver transplantation. Report of 20 cases. Eur Surg Res 42(1):21–27

    Article  PubMed  Google Scholar 

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Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department of Diagnostic and Interventional Radiology, Institute for Clinical and Experimental Medicine, ZRIR IKEM, Vídeňská 1958/9, 14021, Praha 4, Czech Republic

    Laštovičková Jarmila & Peregrin Jan

Authors
  1. Laštovičková Jarmila
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  2. Peregrin Jan
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Corresponding author

Correspondence to Laštovičková Jarmila.

Additional information

An erratum to this article can be found at http://dx.doi.org/10.1007/s00270-011-0183-1

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Jarmila, L., Jan, P. Percutaneous Transluminal Angioplasty of Hepatic Artery Stenosis in Patients After Orthotopic Liver Transplantation: Mid-term Results. Cardiovasc Intervent Radiol 34, 1165–1171 (2011). https://doi.org/10.1007/s00270-010-0082-x

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  • DOI: https://doi.org/10.1007/s00270-010-0082-x

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