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肝移植术后血管并发症的当前先进管理状态

Current state of art management for vascular complications after liver transplantation.

作者信息

Hejazi Kenari S Kamran, Zimmerman Asha, Eslami Mohammad, F Saidi Reza

机构信息

Division of Organ Transplantation, Department of Surgery, Alpert Medical School of Brown University, Providence, RI, USA.

Division of Vascular Surgery, Department of Surgery, Boston University School of Medicine, Boston, MA, USA.

出版信息

Middle East J Dig Dis. 2014 Jul;6(3):121-30.

PMID:25093059
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4119668/
Abstract

Vascular complications by compromising the blood flow to the allograft can have significant and sometimes life-threating consequences for the patient. High level of suspicion and aggressive utilization of diagnostic modalities can lead to early diagnosis and salvage of the allograft. This review will summarize the current trends in the management of vascular complications after liver transplantation. Current trends show an increase in the utilization of endovascular interventions initially to address vascular complications after liver transplantation. Operative repair still has its major role, especially if endovascular procedures fail.

摘要

血管并发症通过影响同种异体移植物的血流,可给患者带来严重甚至有时危及生命的后果。高度的怀疑和积极运用诊断手段可实现早期诊断并挽救同种异体移植物。本综述将总结肝移植后血管并发症管理的当前趋势。当前趋势显示,最初用于处理肝移植后血管并发症的血管内介入治疗的应用有所增加。手术修复仍发挥着主要作用,尤其是在血管内手术失败的情况下。

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本文引用的文献

1
Segmental grafts in adult and pediatric liver transplantation: improving outcomes by minimizing vascular complications.成人和儿童肝移植中的节段性移植物:通过最小化血管并发症改善结局。
JAMA Surg. 2014 Jan;149(1):63-70. doi: 10.1001/jamasurg.2013.3384.
2
Hepatic artery pseudoaneurysms: a single-center experience.肝动脉假性动脉瘤:单中心经验
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3
Hepatic artery thrombosis-related risk factors after living donor liver transplantation: single-center experience from Turkey.活体肝移植术后肝动脉血栓形成相关危险因素:来自土耳其的单中心经验
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4
Interventional radiological treatment of perihepatic vascular stenosis or occlusion in pediatric patients after liver transplantation.肝移植术后小儿患者肝周血管狭窄或闭塞的介入放射学治疗。
Cardiovasc Intervent Radiol. 2013 Dec;36(6):1562-1571. doi: 10.1007/s00270-013-0595-1. Epub 2013 Apr 10.
5
Repeat endovascular treatment of recurring hepatic artery stenoses in orthotopic liver transplantation.再次行血管内治疗治疗原位肝移植术后复发的肝动脉狭窄。
Transpl Int. 2013 Jun;26(6):608-15. doi: 10.1111/tri.12089. Epub 2013 Mar 28.
6
Recanalization of post-transplant late-onset long segmental portal vein thrombosis with bidirectional transhepatic and transmesenteric approach.采用双向经肝和经肠系膜途径对移植后迟发性长节段门静脉血栓形成进行再通治疗。
Pediatr Transplant. 2013 Mar;17(2):E71-5. doi: 10.1111/petr.12050.
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