Abstract
Two liver transplant recipients underwent serial hepatic arteriography, demonstrating a severe, rapidly progressive arteritis involving the hilar hepatic arteries. Liver biopsies in these patients demonstrated ischemic necrosis as a prominent feature. The angiographic appearance and therapeutic implications of liver transplant rejection arteritis are presented.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Calne RY, McMaster P, Portmann B, Wall WJ, Williams R (1977) Observations on preservation, bile drainage and rejection in 64 human orthotopic liver allografts. Ann Surg 186:282–292
Starzl TE, Koep LJ, Halgrimson CG, Hood J, Schroter GPJ, Porter KA, Weil R (1979) Fifteen years of clinical liver transplantation. Gastroenterology 77:375–388
Starzl TE, Iwatsuki S, Van Thiel DH, Gartner JC, Zitelli BJ, Malatack J, Schade RR, Shaw BW, Hakala TR, Rosenthal JT, Porter KA (1982) Evolution of liver transplantation. Hepatology 2:614–636
Scharschmidt BF (1984) Human liver transplantation: Analysis of data on 540 patients from four centers. Hepatology 4:95s-101s
Russell PS (1984) Some immunological considerations in liver transplantation. Hepatology 4:76s-78s
Fennell RH, Roddy HJ (1979) Liver transplantation, the pathologist's perspective. Pathol Annu 14:155–182
Demetris AJ, Lasky S, Van Thiel DH, Starzl TE, Dekker A (1985) Pathology of hepatic transplantation. Am J Pathol 118:151–161
Krom RAF, Kingma LM, Haagsma EB, Wessenhagen H, Slooff MJH, Gips CH (1985) Choledococholedocostomy, a relatively safe procedure in orthotopic liver transplantation. Surgery 97:552–556
Snover DC, Sibley RK, Freese DK, Sharp HL, Bloomer JR, Najarian JS, Ascher NL (1984) Orthotopic liver transplantation: A pathological study of 63 serial liver biopsies from 17 patients with special reference to the diagnostic features and natural history of rejection. Hepatology 4:1212–1222
Zajko AB, Campbell WL, Bron KM, Lecky JW, Iwatsuki S, Shaw BW, Starzl TE (1985) Cholangiography and interventional biliary radiology in adult liver transplantation. AJR 144:127–133
Williams JW, Peters TG, Vera SR, Britt LG, Van Voorst SJ, Haggitt RC (1985) Biopsy-directed immunosuppression following hepatic transplantation in man. Transplantation 39:589–596
Foley WD, Bookstein JJ, Tweist M, Gikas PW, Mayor GH, Turcotte JG (1975) Arteriography of renal transplants. Radiology 116:271–277
Castaneda-Zuniga W, Sibley R, Zollikofer C, Nath PH, Valdez-Davilla O, Coleman C, Amplatz K (1980) Renal artery aneurysms: An angiographic sign of transplant rejection. Radiology 136:333–335
Jenkins RL, Benotti PN, Bothe AA, Rossi RL (1985) Liver transplantation. Surg Clin North Am 65:103–122
Andres GA, Anseil ID, Halgrimson CG, Hsu KC, Porter KA, Starzl TE, Accinni L, Calne RY, Herbertson BM, Penn I, Rendall JM, Williams R (1972) Immunopathological studies of orthotopic human liver allografts, Lancet 1:275–280
Busch GJ, Garovoy MR, Tilney NL (1979) Variant forms of arteritis in human renal allografts. Transplant Proc 11:100–103
Williams HC, Pope CF, Siskind BN, Lange RC, Flye MW (1985) Vascular thrombosis in acute hepatic allograft rejection: Scintigraphic appearance. J Nucl Med 26:478–481
Taylor KJW, Morse SS, Weltin GG, Riely CA, Flye MW (1986) Portable duplex ultrasonography with correlative angiography in liver transplant recipients. Radiology 159:357–363
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Morse, S.S., Reuben, A., Strauss, E.B. et al. Liver transplant rejection arteritis: Serial hepatic arteriography. Cardiovasc Intervent Radiol 9, 191–194 (1986). https://doi.org/10.1007/BF02577939
Issue Date:
DOI: https://doi.org/10.1007/BF02577939