Vascular complications following liver transplantation: A literature review of advances in 2015

Abstract

Although vascular complications (VCs) following orthotopic liver transplantation (OLT) seldom occur, they are the most feared complications with a high incidence of both graft loss and mortality, as they compromise the blood flow of the transplant (either inflow or outflow). Diagnosis and therapeutic management of VCs constitute a major challenge in terms of increasing the success rate of liver transplantation. While surgical treatment used to be considered the first choice for management, advances in endovascular intervention have increased to make this a viable therapeutic option. Considering VC as a rare but a major and dreadful issue in OLT history, and in view of the continuing and rapid progress in recent years, an update on these uncommon conditions seemed necessary. In this sense, this review comprehensively discusses the important features (epidemiological, clinical, paraclinical, prognostic and therapeutic) of VCs following OLT. Core tip: Although vascular complications (VCs) following orthotopic liver transplantation (OLT) seldom occur, they are the most feared complications with a high incidence of both graft loss and mortality, as

Analysis of early relaparotomy following living donor liver transplantation

“…In our study, the indications comprised arterial complications (6 patients of hepatic artery thrombosis and 2 patients of intima dissection), portal venous complications (3 patients of portal venous thrombosis, 3 patients of strictures, and 1 patient of shunt ligation due to a low portal flow), and 2 patients of venous outflow block due to rotation of the graft. Not surprisingly, the outcome of such patients was significantly worse than that of the nonrelaparotomy group . Recently, due to the advancement of interventional radiology, successful experiences of endovascular treatment for vascular complications have been reported .…”

“…Not surprisingly, the outcome of such patients was significantly worse than that of the nonrelaparotomy group. (16) Recently, due to the advancement of interventional radiology, successful experiences of endovascular treatment for vascular complications have been reported. (16,17) Because our experiences were limited, we did not compare the difference in outcome between relaparotomy and endovascular treatment.…”

“…(16) Recently, due to the advancement of interventional radiology, successful experiences of endovascular treatment for vascular complications have been reported. (16,17) Because our experiences were limited, we did not compare the difference in outcome between relaparotomy and endovascular treatment. Although there are some limitations associated with our study, such as retrospective design, single-center experience, and bias of treatment strategy (eg, treatment regimen and timing), this is the first report to evaluate the longterm survival in patients treated with early relaparotomy after LDLT.…”

Variação anatômica do tronco celíaco e do sistema arterial hepático: uma análise por exames de imagem

“…Suas complicações mais comuns são a trombose, que ocorre em 15,8% dos casos e a estenose, em 7,8%. Quando presentes, estão associados à perda de órgão em 53% e mortalidade em 33-50% dos pacientes 12,16,17 .…”

Thrombosed Cavo-Portal Hemi-Transposition Salvaged by Digital Subtraction Angiography and Self Expanding Metallic Stent Deployment-Report of First Case and Review of Literature

“…In pediatric cases LDLT is the preferred modality. Problems specific to pediatric LDLT are large for size graft and higher incidence of Hepatic Artery Thrombosis (HAT) [4]. Various refinements in techniques have been described to avoid these complications.…”