Endovascular Mechanical Thromboaspiration of Right Hepatic Arterial Thrombosis After Liver Transplantation
A 56-year-old male Patient presented 27 days after a liver transplantation (LT) with fever and hyperbilirubinemia. He underwent CT examination resulting in a diagnosis of right hepatic artery (HA) occlusion with hepatic bilomas. Once placed a long right femoral 6F introducer at the origin of the HA,...
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| Veröffentlicht in: | Cardiovascular and interventional radiology 2017-04, Vol.40 (4), p.621-624 |
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| creator | Gandini, Roberto Konda, Daniel Toti, Luca Abrignani, Sergio Merolla, Stefano Tisone, Giuseppe Floris, Roberto |
| description | A 56-year-old male Patient presented 27 days after a liver transplantation (LT) with fever and hyperbilirubinemia. He underwent CT examination resulting in a diagnosis of right hepatic artery (HA) occlusion with hepatic bilomas. Once placed a long right femoral 6F introducer at the origin of the HA, a 0.014” guidewire was advanced over the thrombus, in a segmental branch. A 4MAX (Penumbra, Alameda, USA) catheter was advanced and withdrawn under constant aspiration until complete clot removal was achieved. Follow-up CT and D-US assessments at 12 months demonstrated regular HA patency and bilomas reduction. Endovascular thromboaspiration is an effective strategy in cases of E-HAT after LT. |
| doi_str_mv | 10.1007/s00270-016-1538-4 |
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He underwent CT examination resulting in a diagnosis of right hepatic artery (HA) occlusion with hepatic bilomas. Once placed a long right femoral 6F introducer at the origin of the HA, a 0.014” guidewire was advanced over the thrombus, in a segmental branch. A 4MAX (Penumbra, Alameda, USA) catheter was advanced and withdrawn under constant aspiration until complete clot removal was achieved. Follow-up CT and D-US assessments at 12 months demonstrated regular HA patency and bilomas reduction. Endovascular thromboaspiration is an effective strategy in cases of E-HAT after LT.</description><identifier>ISSN: 0174-1551</identifier><identifier>EISSN: 1432-086X</identifier><identifier>DOI: 10.1007/s00270-016-1538-4</identifier><identifier>PMID: 28032131</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>ARTERIES ; Cardiology ; Case Report ; COMPUTERIZED TOMOGRAPHY ; DIAGNOSIS ; Endovascular Procedures - methods ; FEVER ; Hepatic Artery - diagnostic imaging ; Hepatic Artery - surgery ; Humans ; Imaging ; LIVER ; Liver Transplantation ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Nuclear Medicine ; PATIENTS ; Postoperative Complications - diagnostic imaging ; Postoperative Complications - surgery ; Radiology ; RADIOLOGY AND NUCLEAR MEDICINE ; REDUCTION ; REMOVAL ; Thrombectomy - methods ; THROMBOSIS ; Thrombosis - diagnostic imaging ; Thrombosis - surgery ; Tomography, X-Ray Computed ; Treatment Outcome ; Ultrasonography ; Ultrasound</subject><ispartof>Cardiovascular and interventional radiology, 2017-04, Vol.40 (4), p.621-624</ispartof><rights>Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2016</rights><rights>CardioVascular and Interventional Radiology is a copyright of Springer, 2017.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c433t-a9d5c1c5295976357d48bdd2f65fabebb9d6f4bc1d5665f9096cb82f6491cd3a3</citedby><cites>FETCH-LOGICAL-c433t-a9d5c1c5295976357d48bdd2f65fabebb9d6f4bc1d5665f9096cb82f6491cd3a3</cites><orcidid>0000-0001-8690-5553</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00270-016-1538-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00270-016-1538-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,780,784,885,27922,27923,41486,42555,51317</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28032131$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://www.osti.gov/biblio/22645244$$D View this record in Osti.gov$$Hfree_for_read</backlink></links><search><creatorcontrib>Gandini, Roberto</creatorcontrib><creatorcontrib>Konda, Daniel</creatorcontrib><creatorcontrib>Toti, Luca</creatorcontrib><creatorcontrib>Abrignani, Sergio</creatorcontrib><creatorcontrib>Merolla, Stefano</creatorcontrib><creatorcontrib>Tisone, Giuseppe</creatorcontrib><creatorcontrib>Floris, Roberto</creatorcontrib><title>Endovascular Mechanical Thromboaspiration of Right Hepatic Arterial Thrombosis After Liver Transplantation</title><title>Cardiovascular and interventional radiology</title><addtitle>Cardiovasc Intervent Radiol</addtitle><addtitle>Cardiovasc Intervent Radiol</addtitle><description>A 56-year-old male Patient presented 27 days after a liver transplantation (LT) with fever and hyperbilirubinemia. He underwent CT examination resulting in a diagnosis of right hepatic artery (HA) occlusion with hepatic bilomas. Once placed a long right femoral 6F introducer at the origin of the HA, a 0.014” guidewire was advanced over the thrombus, in a segmental branch. A 4MAX (Penumbra, Alameda, USA) catheter was advanced and withdrawn under constant aspiration until complete clot removal was achieved. Follow-up CT and D-US assessments at 12 months demonstrated regular HA patency and bilomas reduction. Endovascular thromboaspiration is an effective strategy in cases of E-HAT after LT.</description><subject>ARTERIES</subject><subject>Cardiology</subject><subject>Case Report</subject><subject>COMPUTERIZED TOMOGRAPHY</subject><subject>DIAGNOSIS</subject><subject>Endovascular Procedures - methods</subject><subject>FEVER</subject><subject>Hepatic Artery - diagnostic imaging</subject><subject>Hepatic Artery - surgery</subject><subject>Humans</subject><subject>Imaging</subject><subject>LIVER</subject><subject>Liver Transplantation</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Nuclear Medicine</subject><subject>PATIENTS</subject><subject>Postoperative Complications - diagnostic imaging</subject><subject>Postoperative Complications - surgery</subject><subject>Radiology</subject><subject>RADIOLOGY AND NUCLEAR MEDICINE</subject><subject>REDUCTION</subject><subject>REMOVAL</subject><subject>Thrombectomy - methods</subject><subject>THROMBOSIS</subject><subject>Thrombosis - diagnostic imaging</subject><subject>Thrombosis - surgery</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Outcome</subject><subject>Ultrasonography</subject><subject>Ultrasound</subject><issn>0174-1551</issn><issn>1432-086X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqNkV1rFDEUhoNY7Lb6A7yRAW-8mZrvj8ulVFtYEcoK3oVMkulmmU3GZKbQf2-2U1tvBG9y4LxP3nMOLwDvEbxAEIrPBUIsYAsRbxEjsqWvwApRglso-c_XYAWRoFVh6BSclbKHEDGJ2RtwiiUkGBG0Avur6NK9KXYeTG6-ebszMVgzNNtdTocumTKGbKaQYpP65jbc7abm2o-1Y5t1nnwOL2wJpVn3tddswn19t9nEMg4mTo8Gb8FJb4bi3z3Vc_Djy9X28rrdfP96c7netJYSMrVGOWaRZVgxJThhwlHZOYd7znrT-a5Tjve0s8gxXlsKKm47WWWqkHXEkHPwcfFNZQq62DDVq2yK0dtJY8wpw5RW6tNCjTn9mn2Z9CEU64e6rk9z0UgKIakglP8HyiiCQmH1MvsZ3ac5x3ru0ZAoSZWUlUILZXMqJftejzkcTH7QCOpjsnpJVtdk9TFZfdz3w5Pz3B28e_7xJ8oK4AUoVYp3Pv81-p-uvwGs3q5R</recordid><startdate>20170401</startdate><enddate>20170401</enddate><creator>Gandini, Roberto</creator><creator>Konda, Daniel</creator><creator>Toti, Luca</creator><creator>Abrignani, Sergio</creator><creator>Merolla, Stefano</creator><creator>Tisone, Giuseppe</creator><creator>Floris, Roberto</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>7U7</scope><scope>C1K</scope><scope>OTOTI</scope><orcidid>https://orcid.org/0000-0001-8690-5553</orcidid></search><sort><creationdate>20170401</creationdate><title>Endovascular Mechanical Thromboaspiration of Right Hepatic Arterial Thrombosis After Liver Transplantation</title><author>Gandini, Roberto ; 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He underwent CT examination resulting in a diagnosis of right hepatic artery (HA) occlusion with hepatic bilomas. Once placed a long right femoral 6F introducer at the origin of the HA, a 0.014” guidewire was advanced over the thrombus, in a segmental branch. A 4MAX (Penumbra, Alameda, USA) catheter was advanced and withdrawn under constant aspiration until complete clot removal was achieved. Follow-up CT and D-US assessments at 12 months demonstrated regular HA patency and bilomas reduction. Endovascular thromboaspiration is an effective strategy in cases of E-HAT after LT.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>28032131</pmid><doi>10.1007/s00270-016-1538-4</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0001-8690-5553</orcidid></addata></record> |
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| subjects | ARTERIES Cardiology Case Report COMPUTERIZED TOMOGRAPHY DIAGNOSIS Endovascular Procedures - methods FEVER Hepatic Artery - diagnostic imaging Hepatic Artery - surgery Humans Imaging LIVER Liver Transplantation Male Medicine Medicine & Public Health Middle Aged Nuclear Medicine PATIENTS Postoperative Complications - diagnostic imaging Postoperative Complications - surgery Radiology RADIOLOGY AND NUCLEAR MEDICINE REDUCTION REMOVAL Thrombectomy - methods THROMBOSIS Thrombosis - diagnostic imaging Thrombosis - surgery Tomography, X-Ray Computed Treatment Outcome Ultrasonography Ultrasound |
| title | Endovascular Mechanical Thromboaspiration of Right Hepatic Arterial Thrombosis After Liver Transplantation |
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