Vascular complications after liver transplantation: contemporary approaches to detection and treatment. A literature review

Abstract

Vascular complications (VCs) after liver transplantation (LT) are rare but are one of the most dreaded conditions that can potentially lead to graft loss and recipient death. This paper has analyzed the international experience in the early diagnosis of various VCs that can develop following LT, as well as the optimal timing and methods of treatment of these complications.

Implementation of a living donor liver transplantation program in the Republic of Uzbekistan: a report of the first 40 cases

“…The incidence of vascular complications in our series was slightly higher than that reported in the literature [ 11 ], which we attribute to the substantial learning curve associated with the first 15–20 LDLT cases [ 21 , 22 ]. During the observation period, three patients with arterial complications died.…”

“…This procedure was performed either at the hilum of the spleen or at the level of the celiac trunk. To prevent low arterial supply and to mitigate portal hyperperfusion [ 10 , 11 ], we aimed to use grafts with a graft-to-recipient weight ratio exceeding 0.9%. Intraoperative Doppler ultrasound (DUS) was routinely employed to monitor vascular supply following the establishment of arterial anastomosis, after biliary reconstruction, and to ensure final hemostasis.…”

“…During the following week, DUS monitoring was performed once daily. In cases with complications, the duration of DUS monitoring could extend beyond this point [ 11 ].…”