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Non-occlusive hepatic artery hypoperfusion syndrome and imaging findings: a systematic review

  • Special Section: Liver Transplantation
  • Published:
Abdominal Radiology Aims and scope Submit manuscript

Abstract

Non-occlusive hepatic artery hypoperfusion syndrome (NHAHS), in other words, splenic steal, is a rare disorder that can arise following liver transplantation. After liver transplantation, its frequency has been defined as between 0.6 and 10.1%. The diversion of flow from hepatic to splenic arteries results in low perfused hepatic artery which causes elevated liver enzymes, hyperbilirubinemia, and graft dysfunction. This may result from a high resistance in the hepatic arteries, enlarged splenic arteries, a limited hepatic arterial flow due to high portal flow, or a discordance of the graft size and hepatic arterial flow. There may be a need for some prophylactic and/or posttransplant treatment procedures. We aimed to describe pre and post-treatment imaging findings of NHAHS.

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Authors and Affiliations

  1. Department of Radiology, School of Medicine, Koç University, İstanbul, Turkey

    Afak Durur Karakaya, Barbaros Erhan Çil & Levent Oğuzkurt

  2. Liver Transplantation Center, School of Medicine, Koç University, İstanbul, Turkey

    Turan Kanmaz

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  1. Afak Durur Karakaya
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  2. Barbaros Erhan Çil
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  4. Levent Oğuzkurt
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Correspondence to Afak Durur Karakaya.

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Durur Karakaya, A., Çil, B.E., Kanmaz, T. et al. Non-occlusive hepatic artery hypoperfusion syndrome and imaging findings: a systematic review. Abdom Radiol 46, 2467–2473 (2021). https://doi.org/10.1007/s00261-020-02850-7

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  • DOI: https://doi.org/10.1007/s00261-020-02850-7

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