移植肝动脉破裂
Transplant Hepatic Artery Rupture.
作者信息
Quencer Keith B
机构信息
Oregon Health Sciences University, Dotter Institute of Interventional Radiology, Portland, Oregon.
出版信息
Semin Intervent Radiol. 2023 Jul 20;40(3):279-282. doi: 10.1055/s-0043-1769764. eCollection 2023 Jun.
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.
摘要
本文介绍了一例经溶栓和血管支架置入治疗的移植肝动脉血栓形成病例。支架置入术后出现肝动脉破裂并发症，需要紧急置入覆膜支架。肝移植中的肝动脉闭塞常导致胆道并发症，如缺血性胆管病、胆管坏死、胆管炎、胆汁瘤形成、肝内脓肿和肝衰竭。为避免移植失败和可能的死亡，必须及时识别并适当治疗肝动脉血栓形成。
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