Use of a mechanical thrombectomy device to treat early hepatic artery thrombosis after orthotopic liver transplant

James C. Meek*, Jonathan S. McDougal, Daniel Borja-Cacho, Mary E. Meek

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Hepatic artery thrombosis (HAT) is a major cause of morbidity and mortality after orthotopic liver transplantation, occurring in 5% of cases (Piardi et al, 2016). HAT is the second main cause of graft loss after primary nonfunction, the leading cause of graft failure in the immediate postoperative period (<1 month), and is associated with a mortality rate of up to 60% without intervention (Piardi et al, 2016; Pareja et al., 2010; Crossin et al., 2003). Although retransplantation is the preferred therapy, the limited availability of donor organs can necessitate urgent, alternative treatment. These patients present physicians with an often-severe clinical picture, which requires consideration of endovascular approaches as opposed to the more traditional, invasive surgical interventions. The following case study presents a novel mechanical therapy that uses an endovascular approach for revascularization—a stent retriever device.

Original languageEnglish (US)
Pages (from-to)522-526
Number of pages5
JournalRadiology Case Reports
Volume13
Issue number2
DOIs
StatePublished - Apr 2018

Keywords

  • Hepatic
  • Liver
  • Revascularization
  • Stent
  • Thrombosis
  • Transplantation

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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