Semin intervent Radiol 2023; 40(03): 279-282
DOI: 10.1055/s-0043-1769764
Review Article

Transplant Hepatic Artery Rupture

Keith B. Quencer
1   Oregon Health Sciences University, Dotter Institute of Interventional Radiology, Portland, Oregon
› Author Affiliations

Abstract

A case of transplant hepatic artery thrombosis treated with thrombolysis and vascular stenting is presented. Stenting was complicated by hepatic artery rupture necessitating emergent stent graft placement. Hepatic artery occlusion in a liver transplant often leads to biliary complications such as ischemic cholangiopathy, biliary necrosis, cholangitis, biloma formation, intrahepatic abscesses, and liver failure. Prompt recognition and appropriate treatment of hepatic artery thrombosis are necessary to avoid graft failure and possible death.



Publication History

Article published online:
20 July 2023

© 2023. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 
  • References

  • 1 Bekker J, Ploem S, de Jong KP. Early hepatic artery thrombosis after liver transplantation: a systematic review of the incidence, outcome and risk factors. Am J Transplant 2009; 9 (04) 746-757
  • 2 Gunsar F, Rolando N, Pastacaldi S. et al. Late hepatic artery thrombosis after orthotopic liver transplantation. Liver Transpl 2003; 9 (06) 605-611
  • 3 Mourad MM, Algarni A, Liossis C, Bramhall SR. Aetiology and risk factors of ischaemic cholangiopathy after liver transplantation. World J Gastroenterol 2014; 20 (20) 6159-6169
  • 4 Buis CI, Hoekstra H, Verdonk RC, Porte RJ. Causes and consequences of ischemic-type biliary lesions after liver transplantation. J Hepatobiliary Pancreat Surg 2006; 13 (06) 517-524
  • 5 Deltenre P, Valla DC. Ischemic cholangiopathy. Semin Liver Dis 2008; 28 (03) 235-246
  • 6 Du Z, Dong S, Lin P. et al. Warm ischemia may damage peribiliary vascular plexus during DCD liver transplantation. Int J Clin Exp Med 2015; 8 (01) 758-763
  • 7 Mourad MM, Liossis C, Gunson BK. et al. Etiology and management of hepatic artery thrombosis after adult liver transplantation. Liver Transpl 2014; 20 (06) 713-723
  • 8 Goria O, Archambeaud I, Lemaitre C. et al. Ischemic cholangiopathy: an update. Clin Res Hepatol Gastroenterol 2020; 44 (04) 486-490
  • 9 Voigtländer T, Negm AA, Strassburg CP, Lehner F, Manns MP, Lankisch TO. Biliary cast syndrome post-liver transplantation: risk factors and outcome. Liver Int 2013; 33 (08) 1287-1292
  • 10 Xiong Z, Wang Y, Mou Z. et al. Longitudinal computational fluid dynamics study of stenosis and aneurysmal degeneration of an aortorenal bypass. Biomech Model Mechanobiol 2020; 19 (05) 1965-1975
  • 11 Rogers C, Tseng DY, Squire JC, Edelman ER. Balloon-artery interactions during stent placement: a finite element analysis approach to pressure, compliance, and stent design as contributors to vascular injury. Circ Res 1999; 84 (04) 378-383
  • 12 Koide M, Fukui K, Sogabe K. et al. Endovascular treatment for iatrogenic rupture of an iliac artery with severe tortuosity. Radiol Case Rep 2020; 15 (08) 1348-1353