Splenic Artery Embolization for Splenic Artery Steal Syndrome After Living Donor Liver Transplantation: A Case Report

Jiang, Jiayun; Ji, Yujun; Liang, Yong; Ou, Yanjiao; Zhang, Leida

doi:10.1016/j.transproceed.2022.09.020

Cited by 2 publications

(2 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Сложная комбинация факторов, включая гипоперфузию артерии трансплантата и портальную гиперперфузию, может привести к развитию steal-синдрома [9]. В нескольких исследованиях сообщалось об успешном лечении синдрома обкрадывания и функциональном восстановлении трансплантата с помощью эмболизации СА [4,[10][11]. Другие исследования отметили важность обнаружения у пациентов с циррозом увеличенной СА и ее эндоваскулярной эмболизации перед трансплантацией для предотвращения рисков развития синдрома обкрадывания в раннем послеоперационном периоде [12][13].…”

Section: Introductionunclassified

Single-center experience of intraoperative ligation of the splenic artery for prevention of splenic artery steal syndrome in patients after living donor liver transplant

Semash,

Dzhanbekov,

Gaybullaev

2024

Transplantologiâ (Mosk.)

View full text Add to dashboard Cite

Background. Living donor liver transplant is an effective method of treatment in patients with different types of endstage liver diseases. Unfortunately, patients undergoing such a complex treatment sometimes develop various vascular complications. Splenic artery steal syndrome has emerged as a cause of graft ischemia in living donor liver transplant recipients and may lead to high liver enzyme levels, cholestasis, hepatic artery thrombosis, and even a graft loss in some severe cases.Objective. Evaluation of the first results in the experience of our center with a routine intraoperative ligation of the splenic artery during the procedure of right lobe living donor liver transplantation in adult recipients for the prevention of the steal syndrome development in the postoperative period.Material and methods. Living donor liver transplant recipients with known hepatic arterial flow impairment were retrospectively studied. Patients were allocated into groups with regard whether the splenic artery had been ligated or not during the transplant procedure. Arterial complications were reviewed in both groups.Results. None of 30 patients with ligated splenic artery developed splenic artery steal syndrome after living donor liver transplant. splenic artery steal syndrome occurred in 60% patients with non-ligated splenic artery. Surgical technique of performing arterial anastomosis was not related to the splenic artery steal syndrome development (p<0.01 There was no local ischemic necrosis noted in the spleen in patients with the ligated splenic artery.Conclusion. Based on the analysis of our own experience and literature data, the splenic artery ligation appears to be an effective and safe method for preventing a splenic artery steal syndrome in patients following right lobe liver transplantation, with a minimal risk of ischemic complications for the spleen. However, further studies with larger sample sizes are needed to obtain more reliable results. Ultrasound examination and endovascular intervention are the primary tools for an early detection of abnormalities and rapid restoration of arterial blood flow in the hepatic artery of the graft.

show abstract

Section: Introductionunclassified

Single-center experience of intraoperative ligation of the splenic artery for prevention of splenic artery steal syndrome in patients after living donor liver transplant

Semash,

Dzhanbekov,

Gaybullaev

2024

Transplantologiâ (Mosk.)

View full text Add to dashboard Cite

show abstract

“…Despite its potential consequences, this complication has received limited attention. According to available data, its occurrence has been documented, with varying incidence rates ranging from 0.6% to 10.1% [ 5 ]. In this study, we promptly identified a case of splenic artery steal syndrome following a liver transplant, with confirmation achieved through imaging studies and invasive hepatic hemodynamic assessments.…”

Section: Introductionmentioning

confidence: 99%

Refractory Ascites After Liver Transplantation Treated With Splenic Artery Embolization: A Case Report and Literature Review

Mendoza Quevedo,

Vaca-Espinosa,

Marín Zuluaga

et al. 2023

Cureus

View full text Add to dashboard Cite

After orthotopic liver transplantation, several complications can arise, such as arterial or venous thrombosis, stenosis, biliary leakage, ischemia, or ascites. Although refractory ascites are not a common complication, they can have a significant impact on patients' prognosis and quality of life. This condition can be caused by multiple mechanisms, both intrahepatic and extrahepatic, and one of them is the splenic artery steal syndrome. In this article, we present the case of a patient with advanced cirrhosis who developed refractory ascites following liver transplantation. Despite management with diuretics and paracentesis, the ascites did not respond to conventional treatment. The diagnosis of splenic artery steal syndrome was confirmed through angiography, and subsequent embolization of the splenic artery resulted in symptom resolution.

show abstract

Splenic Artery Embolization for Splenic Artery Steal Syndrome After Living Donor Liver Transplantation: A Case Report

Cited by 2 publications

References 29 publications

Single-center experience of intraoperative ligation of the splenic artery for prevention of splenic artery steal syndrome in patients after living donor liver transplant

Single-center experience of intraoperative ligation of the splenic artery for prevention of splenic artery steal syndrome in patients after living donor liver transplant

Refractory Ascites After Liver Transplantation Treated With Splenic Artery Embolization: A Case Report and Literature Review

Contact Info

Product

Resources

About