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肝移植术后肝动脉狭窄闭塞并发症的管理

Management of hepatic artery steno-occlusive complications after liver transplantation.

作者信息

Saad Wael E A

机构信息

Vascular Interventional Radiology Section, Department of Imaging Sciences, University of Rochester Medical Center, Rochester, NY 14618, USA.

出版信息

Tech Vasc Interv Radiol. 2007 Sep;10(3):207-20. doi: 10.1053/j.tvir.2007.09.015.

Abstract

Steno-occlusive disease (arterial obstructive disease) of the transplant hepatic artery is a collective term that can be used to include hepatic artery thrombosis, hepatic artery stenosis, and hepatic arterial kinks. The latter 2 can be referred to collectively as arterial anatomical defects. This chapter details the angiographic techniques and definitions required to make an accurate angiographic diagnosis of these arterial transplant complications. In addition, the chapter focuses on detailed technical aspects of the endoluminal management of these arterial complications. The chapter discusses the role and technical results of endoluminal management of these arterial complications and, when possible, the lesion morphologies most amenable to endoluminal management.

摘要

移植肝动脉的狭窄闭塞性疾病(动脉阻塞性疾病)是一个统称,可用于涵盖肝动脉血栓形成、肝动脉狭窄和肝动脉扭曲。后两者可统称为动脉解剖学缺陷。本章详细介绍了对这些动脉移植并发症进行准确血管造影诊断所需的血管造影技术和定义。此外,本章重点关注这些动脉并发症腔内治疗的详细技术方面。本章讨论了这些动脉并发症腔内治疗的作用和技术效果,并在可能的情况下讨论了最适合腔内治疗的病变形态。

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