Abstract:Splenic artery steal syndrome (SASS) is a cause of graft hypoperfusion leading to the development of biliary tract complications, graft failure, and in some cases to retransplantation. Its management is still controversial since there is no universal consensus about its prophylaxis and consequently treatment. We present a case of SASS that occurred 48 hours after orthotopic liver transplantation (OLTx) in a 56-year-old male patient with alcoholic cirrhosis and severe portal hypertension, and who was successful… Show more
“…3,4 The adenosine promotes vasodilation in arteries, so its washout can lead to hepatic artery vasoconstriction. 32 As research moves forward and more risk factors are found to be associated with SASS, a greater importance may be placed upon prophylactic treatment, such as preoperative splenic artery embolization. Mogl et al demonstrated reduced risk of SASS complications after SASS prophylaxis compared to postoperative treatment.…”
Section: Discussionmentioning
confidence: 99%
“…There are two possible mechanisms by which the hyperperfusion could lead to sinusoidal injury in the graft: (1) The direct effect via elevated portal venous pressures (2) Hepatic artery buffer response secondary to rapid adenosine washout, which can lead to hepatic artery hypoperfusion 3,4 . The adenosine promotes vasodilation in arteries, so its washout can lead to hepatic artery vasoconstriction 32 …”
Section: Discussionmentioning
confidence: 99%
“… 3 , 4 The adenosine promotes vasodilation in arteries, so its washout can lead to hepatic artery vasoconstriction. 32 …”
Key Clinical MessageSplenic steal syndrome (SASS) represents a challenge to interventional radiologists after orthotopic liver transplantation. In this case series, we present three cases of patients who developed SASS after their liver transplants.
“…3,4 The adenosine promotes vasodilation in arteries, so its washout can lead to hepatic artery vasoconstriction. 32 As research moves forward and more risk factors are found to be associated with SASS, a greater importance may be placed upon prophylactic treatment, such as preoperative splenic artery embolization. Mogl et al demonstrated reduced risk of SASS complications after SASS prophylaxis compared to postoperative treatment.…”
Section: Discussionmentioning
confidence: 99%
“…There are two possible mechanisms by which the hyperperfusion could lead to sinusoidal injury in the graft: (1) The direct effect via elevated portal venous pressures (2) Hepatic artery buffer response secondary to rapid adenosine washout, which can lead to hepatic artery hypoperfusion 3,4 . The adenosine promotes vasodilation in arteries, so its washout can lead to hepatic artery vasoconstriction 32 …”
Section: Discussionmentioning
confidence: 99%
“… 3 , 4 The adenosine promotes vasodilation in arteries, so its washout can lead to hepatic artery vasoconstriction. 32 …”
Key Clinical MessageSplenic steal syndrome (SASS) represents a challenge to interventional radiologists after orthotopic liver transplantation. In this case series, we present three cases of patients who developed SASS after their liver transplants.
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