Vascular Complications in Hepatic Transplantation: Single-Center Experience in 14 Years
Abstract Purpose To evaluate the spectrum of liver transplantation-related vascular complications that occurred in a single center over the past 14 years. Materials and methods Vascular complications and their clinical outcomes were reviewed among 744 liver transplant recipients. All patients underw...
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Veröffentlicht in: | Transplantation proceedings 2012-06, Vol.44 (5), p.1368-1372 |
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description | Abstract Purpose To evaluate the spectrum of liver transplantation-related vascular complications that occurred in a single center over the past 14 years. Materials and methods Vascular complications and their clinical outcomes were reviewed among 744 liver transplant recipients. All patients underwent Doppler ultrasound with findings correlated with conventional or computed tomography angiography (CTA) in 111 patients. Results Among 70 recipients with vascular complications (%0.9), 14/26 patients with hepatic artery thrombosis underwent thrombectomy and arterial reanastomosis; six were retransplanted and six died. Among hepatic artery stenoses, three of nine were treated with balloon angioplasty and six underwent reanastomosis. Among 20 portal vein thromboses, 16 underwent thrombectomy, two patients retransplantation and two died. Seven patients with portal vein stenosis were followed. Two of six hepatic vein stenosis were restored with balloon angioplasty and three patients with metallic stent placement; the one other died. One patient with hepatic vein thrombosis died while the other patient was retransplanted. Conclusion Transplantation related hepatic vascular complications diagnosed and managed in timely fashion showed a low mortality rate in our series. |
doi_str_mv | 10.1016/j.transproceed.2012.02.027 |
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Materials and methods Vascular complications and their clinical outcomes were reviewed among 744 liver transplant recipients. All patients underwent Doppler ultrasound with findings correlated with conventional or computed tomography angiography (CTA) in 111 patients. Results Among 70 recipients with vascular complications (%0.9), 14/26 patients with hepatic artery thrombosis underwent thrombectomy and arterial reanastomosis; six were retransplanted and six died. Among hepatic artery stenoses, three of nine were treated with balloon angioplasty and six underwent reanastomosis. Among 20 portal vein thromboses, 16 underwent thrombectomy, two patients retransplantation and two died. Seven patients with portal vein stenosis were followed. Two of six hepatic vein stenosis were restored with balloon angioplasty and three patients with metallic stent placement; the one other died. One patient with hepatic vein thrombosis died while the other patient was retransplanted. Conclusion Transplantation related hepatic vascular complications diagnosed and managed in timely fashion showed a low mortality rate in our series.</description><identifier>ISSN: 0041-1345</identifier><identifier>EISSN: 1873-2623</identifier><identifier>DOI: 10.1016/j.transproceed.2012.02.027</identifier><identifier>PMID: 22664017</identifier><identifier>CODEN: TRPPA8</identifier><language>eng</language><publisher>Amsterdam: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Aged ; Angioplasty, Balloon ; Arterial Occlusive Diseases - diagnosis ; Arterial Occlusive Diseases - etiology ; Arterial Occlusive Diseases - mortality ; Arterial Occlusive Diseases - therapy ; Biological and medical sciences ; Child ; Child, Preschool ; Constriction, Pathologic ; Female ; Fundamental and applied biological sciences. Psychology ; Fundamental immunology ; Hepatic Artery - surgery ; Humans ; Infant ; Liver Transplantation - adverse effects ; Liver Transplantation - mortality ; Male ; Medical sciences ; Middle Aged ; Phlebography ; Portal Vein - surgery ; Predictive Value of Tests ; Reoperation ; Retrospective Studies ; Surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Thrombectomy ; Thrombosis - diagnosis ; Thrombosis - etiology ; Thrombosis - mortality ; Thrombosis - therapy ; Time Factors ; Tissue, organ and graft immunology ; Tomography, X-Ray Computed ; Treatment Outcome ; Turkey ; Ultrasonography, Doppler, Color ; Vascular Surgical Procedures - adverse effects ; Vascular Surgical Procedures - mortality ; Venous Thrombosis - diagnosis ; Venous Thrombosis - etiology ; Venous Thrombosis - mortality ; Venous Thrombosis - therapy ; Young Adult</subject><ispartof>Transplantation proceedings, 2012-06, Vol.44 (5), p.1368-1372</ispartof><rights>Elsevier Inc.</rights><rights>2012 Elsevier Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2012 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c531t-86c0639473d8ed601584cfb9675430d1d802295ddce2b026e6e0764dcf8281613</citedby><cites>FETCH-LOGICAL-c531t-86c0639473d8ed601584cfb9675430d1d802295ddce2b026e6e0764dcf8281613</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.transproceed.2012.02.027$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=26201164$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22664017$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Akun, E</creatorcontrib><creatorcontrib>Yaprak, O</creatorcontrib><creatorcontrib>Killi, R</creatorcontrib><creatorcontrib>Balci, N.C</creatorcontrib><creatorcontrib>Tokat, Y</creatorcontrib><creatorcontrib>Yuzer, Y</creatorcontrib><title>Vascular Complications in Hepatic Transplantation: Single-Center Experience in 14 Years</title><title>Transplantation proceedings</title><addtitle>Transplant Proc</addtitle><description>Abstract Purpose To evaluate the spectrum of liver transplantation-related vascular complications that occurred in a single center over the past 14 years. Materials and methods Vascular complications and their clinical outcomes were reviewed among 744 liver transplant recipients. All patients underwent Doppler ultrasound with findings correlated with conventional or computed tomography angiography (CTA) in 111 patients. Results Among 70 recipients with vascular complications (%0.9), 14/26 patients with hepatic artery thrombosis underwent thrombectomy and arterial reanastomosis; six were retransplanted and six died. Among hepatic artery stenoses, three of nine were treated with balloon angioplasty and six underwent reanastomosis. Among 20 portal vein thromboses, 16 underwent thrombectomy, two patients retransplantation and two died. Seven patients with portal vein stenosis were followed. Two of six hepatic vein stenosis were restored with balloon angioplasty and three patients with metallic stent placement; the one other died. One patient with hepatic vein thrombosis died while the other patient was retransplanted. Conclusion Transplantation related hepatic vascular complications diagnosed and managed in timely fashion showed a low mortality rate in our series.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Angioplasty, Balloon</subject><subject>Arterial Occlusive Diseases - diagnosis</subject><subject>Arterial Occlusive Diseases - etiology</subject><subject>Arterial Occlusive Diseases - mortality</subject><subject>Arterial Occlusive Diseases - therapy</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Constriction, Pathologic</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Fundamental immunology</subject><subject>Hepatic Artery - surgery</subject><subject>Humans</subject><subject>Infant</subject><subject>Liver Transplantation - adverse effects</subject><subject>Liver Transplantation - mortality</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Phlebography</subject><subject>Portal Vein - surgery</subject><subject>Predictive Value of Tests</subject><subject>Reoperation</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Thrombectomy</subject><subject>Thrombosis - diagnosis</subject><subject>Thrombosis - etiology</subject><subject>Thrombosis - mortality</subject><subject>Thrombosis - therapy</subject><subject>Time Factors</subject><subject>Tissue, organ and graft immunology</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Outcome</subject><subject>Turkey</subject><subject>Ultrasonography, Doppler, Color</subject><subject>Vascular Surgical Procedures - adverse effects</subject><subject>Vascular Surgical Procedures - mortality</subject><subject>Venous Thrombosis - diagnosis</subject><subject>Venous Thrombosis - etiology</subject><subject>Venous Thrombosis - mortality</subject><subject>Venous Thrombosis - therapy</subject><subject>Young Adult</subject><issn>0041-1345</issn><issn>1873-2623</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkl1rFDEUhoModq3-BRkEwZtZ8zWZbC8EWWsrFLxoVbwK2eSMZM1mpsmM2H_vmd0tFa-EQAh53nMOT0LIK0aXjDL1drscs01lyL0D8EtOGV_SebWPyILpVtRccfGYLCiVrGZCNifkWSlbimcuxVNywrlSkrJ2Qb59tcVN0eZq3e-GGJwdQ59KFVJ1CQMeXHWzbxZtGvd3Z9V1SD8i1GtII-Tq_PcAOUByMIeYrL6DzeU5edLZWODFcT8lXz6e36wv66vPF5_W769q1wg21lo5qsRKtsJr8IqyRkvXbVaqbaSgnnlNOV813jvgG8oVKKCtkt51mmummDglbw510cbtBGU0u1AcRBwX-qkYFKa14kxwRM8OqMt9KRk6M-Sws_kOoZlTZmv-FmtmsYbOq8Xwy2OfabPDu_vovUkEXh8BFGpjh4VcKA-cwmpMSeQ-HDhAK78CZFPc3p4PGdxofB_-b553_5RxMSR8vvgT7qBs-ykn9G6YKRgw1_NXmH8C45QKSRvxB3YFsRk</recordid><startdate>20120601</startdate><enddate>20120601</enddate><creator>Akun, E</creator><creator>Yaprak, O</creator><creator>Killi, R</creator><creator>Balci, N.C</creator><creator>Tokat, Y</creator><creator>Yuzer, Y</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><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>7X8</scope></search><sort><creationdate>20120601</creationdate><title>Vascular Complications in Hepatic Transplantation: Single-Center Experience in 14 Years</title><author>Akun, E ; Yaprak, O ; Killi, R ; Balci, N.C ; Tokat, Y ; Yuzer, Y</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c531t-86c0639473d8ed601584cfb9675430d1d802295ddce2b026e6e0764dcf8281613</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Angioplasty, Balloon</topic><topic>Arterial Occlusive Diseases - diagnosis</topic><topic>Arterial Occlusive Diseases - etiology</topic><topic>Arterial Occlusive Diseases - mortality</topic><topic>Arterial Occlusive Diseases - therapy</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Constriction, Pathologic</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Fundamental immunology</topic><topic>Hepatic Artery - surgery</topic><topic>Humans</topic><topic>Infant</topic><topic>Liver Transplantation - adverse effects</topic><topic>Liver Transplantation - mortality</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Phlebography</topic><topic>Portal Vein - surgery</topic><topic>Predictive Value of Tests</topic><topic>Reoperation</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Thrombectomy</topic><topic>Thrombosis - diagnosis</topic><topic>Thrombosis - etiology</topic><topic>Thrombosis - mortality</topic><topic>Thrombosis - therapy</topic><topic>Time Factors</topic><topic>Tissue, organ and graft immunology</topic><topic>Tomography, X-Ray Computed</topic><topic>Treatment Outcome</topic><topic>Turkey</topic><topic>Ultrasonography, Doppler, Color</topic><topic>Vascular Surgical Procedures - adverse effects</topic><topic>Vascular Surgical Procedures - mortality</topic><topic>Venous Thrombosis - diagnosis</topic><topic>Venous Thrombosis - etiology</topic><topic>Venous Thrombosis - mortality</topic><topic>Venous Thrombosis - therapy</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Akun, E</creatorcontrib><creatorcontrib>Yaprak, O</creatorcontrib><creatorcontrib>Killi, R</creatorcontrib><creatorcontrib>Balci, N.C</creatorcontrib><creatorcontrib>Tokat, Y</creatorcontrib><creatorcontrib>Yuzer, Y</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Transplantation proceedings</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Akun, E</au><au>Yaprak, O</au><au>Killi, R</au><au>Balci, N.C</au><au>Tokat, Y</au><au>Yuzer, Y</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Vascular Complications in Hepatic Transplantation: Single-Center Experience in 14 Years</atitle><jtitle>Transplantation proceedings</jtitle><addtitle>Transplant Proc</addtitle><date>2012-06-01</date><risdate>2012</risdate><volume>44</volume><issue>5</issue><spage>1368</spage><epage>1372</epage><pages>1368-1372</pages><issn>0041-1345</issn><eissn>1873-2623</eissn><coden>TRPPA8</coden><abstract>Abstract Purpose To evaluate the spectrum of liver transplantation-related vascular complications that occurred in a single center over the past 14 years. Materials and methods Vascular complications and their clinical outcomes were reviewed among 744 liver transplant recipients. All patients underwent Doppler ultrasound with findings correlated with conventional or computed tomography angiography (CTA) in 111 patients. Results Among 70 recipients with vascular complications (%0.9), 14/26 patients with hepatic artery thrombosis underwent thrombectomy and arterial reanastomosis; six were retransplanted and six died. Among hepatic artery stenoses, three of nine were treated with balloon angioplasty and six underwent reanastomosis. Among 20 portal vein thromboses, 16 underwent thrombectomy, two patients retransplantation and two died. Seven patients with portal vein stenosis were followed. Two of six hepatic vein stenosis were restored with balloon angioplasty and three patients with metallic stent placement; the one other died. One patient with hepatic vein thrombosis died while the other patient was retransplanted. Conclusion Transplantation related hepatic vascular complications diagnosed and managed in timely fashion showed a low mortality rate in our series.</abstract><cop>Amsterdam</cop><pub>Elsevier Inc</pub><pmid>22664017</pmid><doi>10.1016/j.transproceed.2012.02.027</doi><tpages>5</tpages></addata></record> |
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subjects | Adolescent Adult Aged Angioplasty, Balloon Arterial Occlusive Diseases - diagnosis Arterial Occlusive Diseases - etiology Arterial Occlusive Diseases - mortality Arterial Occlusive Diseases - therapy Biological and medical sciences Child Child, Preschool Constriction, Pathologic Female Fundamental and applied biological sciences. Psychology Fundamental immunology Hepatic Artery - surgery Humans Infant Liver Transplantation - adverse effects Liver Transplantation - mortality Male Medical sciences Middle Aged Phlebography Portal Vein - surgery Predictive Value of Tests Reoperation Retrospective Studies Surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Thrombectomy Thrombosis - diagnosis Thrombosis - etiology Thrombosis - mortality Thrombosis - therapy Time Factors Tissue, organ and graft immunology Tomography, X-Ray Computed Treatment Outcome Turkey Ultrasonography, Doppler, Color Vascular Surgical Procedures - adverse effects Vascular Surgical Procedures - mortality Venous Thrombosis - diagnosis Venous Thrombosis - etiology Venous Thrombosis - mortality Venous Thrombosis - therapy Young Adult |
title | Vascular Complications in Hepatic Transplantation: Single-Center Experience in 14 Years |
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