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Title: Endovascular Mechanical Thromboaspiration of Right Hepatic Arterial Thrombosis After Liver Transplantation

Abstract

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 A 4MAX (Penumbra, Alameda, USA) catheter was advanced and withdrawn under constant aspiration until complete clot removal was achieved.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.

Authors:
;  [1];  [2]; ;  [1];  [2];  [1]
  1. University of Rome “Tor Vergata”, Department of Diagnostic Imaging, Molecular Imaging, Interventional Radiology and Radiotherapy, PTV Foundation, “Tor Vergata” Hospital (Italy)
  2. University of Rome “Tor Vergata”, Department of Surgery, Section of Transplantation, PTV Foundation, “Tor Vergata” Hospital (Italy)
Publication Date:
OSTI Identifier:
22645244
Resource Type:
Journal Article
Resource Relation:
Journal Name: Cardiovascular and Interventional Radiology; Journal Volume: 40; Journal Issue: 4; Other Information: Copyright (c) 2017 Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); http://www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA)
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; ARTERIES; COMPUTERIZED TOMOGRAPHY; DIAGNOSIS; FEVER; LIVER; PATIENTS; REDUCTION; REMOVAL; THROMBOSIS

Citation Formats

Gandini, Roberto, Konda, Daniel, Toti, Luca, Abrignani, Sergio, E-mail: stem83@gmail.com, Merolla, Stefano, Tisone, Giuseppe, and Floris, Roberto. Endovascular Mechanical Thromboaspiration of Right Hepatic Arterial Thrombosis After Liver Transplantation. United States: N. p., 2017. Web. doi:10.1007/S00270-016-1538-4.
Gandini, Roberto, Konda, Daniel, Toti, Luca, Abrignani, Sergio, E-mail: stem83@gmail.com, Merolla, Stefano, Tisone, Giuseppe, & Floris, Roberto. Endovascular Mechanical Thromboaspiration of Right Hepatic Arterial Thrombosis After Liver Transplantation. United States. doi:10.1007/S00270-016-1538-4.
Gandini, Roberto, Konda, Daniel, Toti, Luca, Abrignani, Sergio, E-mail: stem83@gmail.com, Merolla, Stefano, Tisone, Giuseppe, and Floris, Roberto. Sat . "Endovascular Mechanical Thromboaspiration of Right Hepatic Arterial Thrombosis After Liver Transplantation". United States. doi:10.1007/S00270-016-1538-4.
@article{osti_22645244,
title = {Endovascular Mechanical Thromboaspiration of Right Hepatic Arterial Thrombosis After Liver Transplantation},
author = {Gandini, Roberto and Konda, Daniel and Toti, Luca and Abrignani, Sergio, E-mail: stem83@gmail.com and Merolla, Stefano and Tisone, Giuseppe and Floris, Roberto},
abstractNote = {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 = {10.1007/S00270-016-1538-4},
journal = {Cardiovascular and Interventional Radiology},
number = 4,
volume = 40,
place = {United States},
year = {Sat Apr 15 00:00:00 EDT 2017},
month = {Sat Apr 15 00:00:00 EDT 2017}
}