The use of coronary stent in hepatic artery stenosis after orthotopic liver transplantation
This retrospective study was undertaken to evaluate the effectiveness of coronary stent placement in hepatic artery stenosis after orthotopic liver transplantation (OLT). Of 430 consecutive adult orthotopic liver transplant recipients between November 2003 and September 2005, 17 had hepatic artery s...
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| Veröffentlicht in: | European journal of radiology 2006-12, Vol.60 (3), p.425-430 |
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| container_title | European journal of radiology |
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| creator | Huang, Mingsheng Shan, Hong Jiang, Zaibo Li, Zhengran Zhu, Kangshun Guan, Shouhai Qian, Jiesheng Chen, Guihua Lu, Minqiang Yang, Yang |
| description | This retrospective study was undertaken to evaluate the effectiveness of coronary stent placement in hepatic artery stenosis after orthotopic liver transplantation (OLT).
Of 430 consecutive adult orthotopic liver transplant recipients between November 2003 and September 2005, 17 had hepatic artery stenosis (HAS). Fourteen of them underwent coronary stent placement in the HAS. The technical results, complications, hepatic artery patency and clinical outcome were reviewed.
Technical and immediate success was 100%. After a mean follow-up of 159.4 days (range, 9–375 days), all patients obtained patent hepatic arteries except 2 patients occurred hepatic artery restenoses at 26 and 45 days after stent placement, respectively. Kaplan–Meier curve of patency showed cumulated stent patency at 3, 6, and 12 months of 78%, 58% and 45%, respectively. During the follow-up, 8 patients survived, 5 died of septic multiple-organ failure, 1 received retransplantation because of refractory biliary infection. Hepatic artery dissection induced by a guiding catheter occurred in one patient and was successfully treated with a coronary stent.
Hepatic artery stenosis after OLT can be successfully treated with coronary stent placement with low complication rate and an acceptable 1-year hepatic artery patency rate. |
| doi_str_mv | 10.1016/j.ejrad.2006.06.008 |
| format | Article |
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Of 430 consecutive adult orthotopic liver transplant recipients between November 2003 and September 2005, 17 had hepatic artery stenosis (HAS). Fourteen of them underwent coronary stent placement in the HAS. The technical results, complications, hepatic artery patency and clinical outcome were reviewed.
Technical and immediate success was 100%. After a mean follow-up of 159.4 days (range, 9–375 days), all patients obtained patent hepatic arteries except 2 patients occurred hepatic artery restenoses at 26 and 45 days after stent placement, respectively. Kaplan–Meier curve of patency showed cumulated stent patency at 3, 6, and 12 months of 78%, 58% and 45%, respectively. During the follow-up, 8 patients survived, 5 died of septic multiple-organ failure, 1 received retransplantation because of refractory biliary infection. Hepatic artery dissection induced by a guiding catheter occurred in one patient and was successfully treated with a coronary stent.
Hepatic artery stenosis after OLT can be successfully treated with coronary stent placement with low complication rate and an acceptable 1-year hepatic artery patency rate.</description><identifier>ISSN: 0720-048X</identifier><identifier>EISSN: 1872-7727</identifier><identifier>DOI: 10.1016/j.ejrad.2006.06.008</identifier><identifier>PMID: 16891080</identifier><identifier>CODEN: EJRADR</identifier><language>eng</language><publisher>Shannon: Elsevier Ireland Ltd</publisher><subject>Adult ; Angiography ; Biological and medical sciences ; Blood and lymphatic vessels ; Cardiology. Vascular system ; Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous ; Female ; Graft Occlusion, Vascular - diagnostic imaging ; Graft Occlusion, Vascular - therapy ; Hepatic Artery ; Hepatic artery stenosis ; Humans ; Interventional ; Liver Transplantation ; Male ; Medical sciences ; Middle Aged ; Postoperative Complications - diagnostic imaging ; Postoperative Complications - therapy ; Radiology ; Stent ; Stents ; Therapy ; Treatment Outcome ; Vascular Patency</subject><ispartof>European journal of radiology, 2006-12, Vol.60 (3), p.425-430</ispartof><rights>2006 Elsevier Ireland Ltd</rights><rights>2007 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c387t-a9f5f3521b33fb9586d02d9571a7af7fd4014da3ef7feb8ba64807253c07cd603</citedby><cites>FETCH-LOGICAL-c387t-a9f5f3521b33fb9586d02d9571a7af7fd4014da3ef7feb8ba64807253c07cd603</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ejrad.2006.06.008$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18324970$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16891080$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Huang, Mingsheng</creatorcontrib><creatorcontrib>Shan, Hong</creatorcontrib><creatorcontrib>Jiang, Zaibo</creatorcontrib><creatorcontrib>Li, Zhengran</creatorcontrib><creatorcontrib>Zhu, Kangshun</creatorcontrib><creatorcontrib>Guan, Shouhai</creatorcontrib><creatorcontrib>Qian, Jiesheng</creatorcontrib><creatorcontrib>Chen, Guihua</creatorcontrib><creatorcontrib>Lu, Minqiang</creatorcontrib><creatorcontrib>Yang, Yang</creatorcontrib><title>The use of coronary stent in hepatic artery stenosis after orthotopic liver transplantation</title><title>European journal of radiology</title><addtitle>Eur J Radiol</addtitle><description>This retrospective study was undertaken to evaluate the effectiveness of coronary stent placement in hepatic artery stenosis after orthotopic liver transplantation (OLT).
Of 430 consecutive adult orthotopic liver transplant recipients between November 2003 and September 2005, 17 had hepatic artery stenosis (HAS). Fourteen of them underwent coronary stent placement in the HAS. The technical results, complications, hepatic artery patency and clinical outcome were reviewed.
Technical and immediate success was 100%. After a mean follow-up of 159.4 days (range, 9–375 days), all patients obtained patent hepatic arteries except 2 patients occurred hepatic artery restenoses at 26 and 45 days after stent placement, respectively. Kaplan–Meier curve of patency showed cumulated stent patency at 3, 6, and 12 months of 78%, 58% and 45%, respectively. During the follow-up, 8 patients survived, 5 died of septic multiple-organ failure, 1 received retransplantation because of refractory biliary infection. Hepatic artery dissection induced by a guiding catheter occurred in one patient and was successfully treated with a coronary stent.
Hepatic artery stenosis after OLT can be successfully treated with coronary stent placement with low complication rate and an acceptable 1-year hepatic artery patency rate.</description><subject>Adult</subject><subject>Angiography</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Cardiology. Vascular system</subject><subject>Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous</subject><subject>Female</subject><subject>Graft Occlusion, Vascular - diagnostic imaging</subject><subject>Graft Occlusion, Vascular - therapy</subject><subject>Hepatic Artery</subject><subject>Hepatic artery stenosis</subject><subject>Humans</subject><subject>Interventional</subject><subject>Liver Transplantation</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Postoperative Complications - diagnostic imaging</subject><subject>Postoperative Complications - therapy</subject><subject>Radiology</subject><subject>Stent</subject><subject>Stents</subject><subject>Therapy</subject><subject>Treatment Outcome</subject><subject>Vascular Patency</subject><issn>0720-048X</issn><issn>1872-7727</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMFq3DAQQEVJabZpvyAQdGlv3o4s25IPOZSlbQKBXlIo9CBkacRq8VqOpA307yt3DbkFBqQZ3gwzj5BrBlsGrPty2OIharutAbrtEiDfkA2Toq6EqMUF2YCooYJG_r4k71M6AEDb9PU7csk62TOQsCF_HvdITwlpcNSEGCYd_9KUccrUT3SPs87eUB0zrvWQfKLalZyGmPchh7kAo38uhRz1lOZRT7l0hekDeev0mPDj-l6RX9-_Pe7uqoefP-53Xx8qw6XIle5d63hbs4FzN_St7CzUtm8F00I74WwDrLGaY_njIAfdNbJc1nIDwtgO-BX5fJ47x_B0wpTV0SeDY1kEwympThYpgrMC8jNoYkgpolNz9MdysWKgFqfqoP47VYtTtQTI0nWzjj8NR7QvPavEAnxaAZ2MHl2xYHx64SSvm14s3O2ZwyLj2WNUyXicDFof0WRlg391kX9j6peT</recordid><startdate>20061201</startdate><enddate>20061201</enddate><creator>Huang, Mingsheng</creator><creator>Shan, Hong</creator><creator>Jiang, Zaibo</creator><creator>Li, Zhengran</creator><creator>Zhu, Kangshun</creator><creator>Guan, Shouhai</creator><creator>Qian, Jiesheng</creator><creator>Chen, Guihua</creator><creator>Lu, Minqiang</creator><creator>Yang, Yang</creator><general>Elsevier Ireland Ltd</general><general>Elsevier Science</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>20061201</creationdate><title>The use of coronary stent in hepatic artery stenosis after orthotopic liver transplantation</title><author>Huang, Mingsheng ; Shan, Hong ; Jiang, Zaibo ; Li, Zhengran ; Zhu, Kangshun ; Guan, Shouhai ; Qian, Jiesheng ; Chen, Guihua ; Lu, Minqiang ; Yang, Yang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c387t-a9f5f3521b33fb9586d02d9571a7af7fd4014da3ef7feb8ba64807253c07cd603</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adult</topic><topic>Angiography</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Cardiology. Vascular system</topic><topic>Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous</topic><topic>Female</topic><topic>Graft Occlusion, Vascular - diagnostic imaging</topic><topic>Graft Occlusion, Vascular - therapy</topic><topic>Hepatic Artery</topic><topic>Hepatic artery stenosis</topic><topic>Humans</topic><topic>Interventional</topic><topic>Liver Transplantation</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Postoperative Complications - diagnostic imaging</topic><topic>Postoperative Complications - therapy</topic><topic>Radiology</topic><topic>Stent</topic><topic>Stents</topic><topic>Therapy</topic><topic>Treatment Outcome</topic><topic>Vascular Patency</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Huang, Mingsheng</creatorcontrib><creatorcontrib>Shan, Hong</creatorcontrib><creatorcontrib>Jiang, Zaibo</creatorcontrib><creatorcontrib>Li, Zhengran</creatorcontrib><creatorcontrib>Zhu, Kangshun</creatorcontrib><creatorcontrib>Guan, Shouhai</creatorcontrib><creatorcontrib>Qian, Jiesheng</creatorcontrib><creatorcontrib>Chen, Guihua</creatorcontrib><creatorcontrib>Lu, Minqiang</creatorcontrib><creatorcontrib>Yang, Yang</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>European journal of radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Huang, Mingsheng</au><au>Shan, Hong</au><au>Jiang, Zaibo</au><au>Li, Zhengran</au><au>Zhu, Kangshun</au><au>Guan, Shouhai</au><au>Qian, Jiesheng</au><au>Chen, Guihua</au><au>Lu, Minqiang</au><au>Yang, Yang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The use of coronary stent in hepatic artery stenosis after orthotopic liver transplantation</atitle><jtitle>European journal of radiology</jtitle><addtitle>Eur J Radiol</addtitle><date>2006-12-01</date><risdate>2006</risdate><volume>60</volume><issue>3</issue><spage>425</spage><epage>430</epage><pages>425-430</pages><issn>0720-048X</issn><eissn>1872-7727</eissn><coden>EJRADR</coden><abstract>This retrospective study was undertaken to evaluate the effectiveness of coronary stent placement in hepatic artery stenosis after orthotopic liver transplantation (OLT).
Of 430 consecutive adult orthotopic liver transplant recipients between November 2003 and September 2005, 17 had hepatic artery stenosis (HAS). Fourteen of them underwent coronary stent placement in the HAS. The technical results, complications, hepatic artery patency and clinical outcome were reviewed.
Technical and immediate success was 100%. After a mean follow-up of 159.4 days (range, 9–375 days), all patients obtained patent hepatic arteries except 2 patients occurred hepatic artery restenoses at 26 and 45 days after stent placement, respectively. Kaplan–Meier curve of patency showed cumulated stent patency at 3, 6, and 12 months of 78%, 58% and 45%, respectively. During the follow-up, 8 patients survived, 5 died of septic multiple-organ failure, 1 received retransplantation because of refractory biliary infection. Hepatic artery dissection induced by a guiding catheter occurred in one patient and was successfully treated with a coronary stent.
Hepatic artery stenosis after OLT can be successfully treated with coronary stent placement with low complication rate and an acceptable 1-year hepatic artery patency rate.</abstract><cop>Shannon</cop><pub>Elsevier Ireland Ltd</pub><pmid>16891080</pmid><doi>10.1016/j.ejrad.2006.06.008</doi><tpages>6</tpages></addata></record> |
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| subjects | Adult Angiography Biological and medical sciences Blood and lymphatic vessels Cardiology. Vascular system Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous Female Graft Occlusion, Vascular - diagnostic imaging Graft Occlusion, Vascular - therapy Hepatic Artery Hepatic artery stenosis Humans Interventional Liver Transplantation Male Medical sciences Middle Aged Postoperative Complications - diagnostic imaging Postoperative Complications - therapy Radiology Stent Stents Therapy Treatment Outcome Vascular Patency |
| title | The use of coronary stent in hepatic artery stenosis after orthotopic liver transplantation |
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