肝移植术后急性肝动脉闭塞的介入治疗
Interventional treatment of acute hepatic artery occlusion after liver transplantation.
作者信息
Li Zhi-Wei, Wang Mao-Qiang, Zhou Ning-Xin, Liu Zhe, Huang Zhi-Qiang
机构信息
Department of General Surgery, Dongguan Kanghua Hospital, Dongguan 523080, China.
出版信息
Hepatobiliary Pancreat Dis Int. 2007 Oct;6(5):474-8.
BACKGROUND
With the development of the associated technology, interventional treatment has become an important method for the treatment of hepatic artery occlusion in some countries. This study was undertaken to evaluate the role of interventional methods in the diagnosis and treatment of acute hepatic artery occlusion after liver transplantation.
METHODS
The diagnosis and treatment of 9 cases of acute hepatic artery occlusion after liver transplantation were retrospectively analyzed.
RESULTS
In 109 cases of liver transplantation, 9 were diagnosed by angiography. Among them, 7 were diagnosed by Doppler ultrasound. After transcatheter thrombolysis, the hepatic arteries were partially or totally patent again in 6 cases of hepatic artery occlusion after liver transplantation, and stent placements in the hepatic artery were performed in 5 cases. All stents proved patent and no patient required another liver transplantation.
CONCLUSIONS
Angiography plays an important role in diagnosing hepatic artery complications after liver transplantation. Interventional therapy is a valuable method in the treatment of acute hepatic artery occlusion after liver transplantation.
背景
随着相关技术的发展，介入治疗在一些国家已成为治疗肝动脉闭塞的重要方法。本研究旨在评估介入方法在肝移植术后急性肝动脉闭塞的诊断和治疗中的作用。
方法
回顾性分析9例肝移植术后急性肝动脉闭塞的诊断和治疗情况。
结果
在109例肝移植病例中，9例经血管造影确诊。其中，7例经多普勒超声确诊。肝移植术后肝动脉闭塞的6例患者经导管溶栓后，肝动脉部分或完全再通，5例患者进行了肝动脉支架置入术。所有支架均通畅，无患者需要再次肝移植。
结论
血管造影在诊断肝移植术后肝动脉并发症中起重要作用。介入治疗是治疗肝移植术后急性肝动脉闭塞的一种有价值的方法。
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