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
Hauptverfasser: Akun, E, Yaprak, O, Killi, R, Balci, N.C, Tokat, Y, Yuzer, Y
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container_issue 5
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container_title Transplantation proceedings
container_volume 44
creator Akun, E
Yaprak, O
Killi, R
Balci, N.C
Tokat, Y
Yuzer, Y
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. 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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><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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