[The diagnosis and treatment of hepatic artery complications in 107 cases of orthotopic liver transplantation].
OBJECTIVE
To investigate the diagnosis and managements of hepatic artery complications in orthotopic liver transplantation.


METHODS
The clinical data of 107 consecutive orthotopic liver transplantation patients was reviewed retrospectively to assess the risk factors and the diagnosis and treatment of the vascular complications.


RESULTS
The incidence of the artery related complications in orthotopic liver transplantation was associated with the quality of the donor organ artery and the reconstruction way of donor-recipient artery intimately. The main hepatic artery related complications were hepatic artery thrombosis and stenosis. The incidence of the vascular complications was 6.54%, and the mortality rate was 85.7%.


CONCLUSIONS
The main influence factors of vascular complications were the quality of the donor organ artery and the reconstruction way of donor-recipient artery. The key steps of organ salvaging and the patients' life saving were early diagnosis and treatment of those complications.
Li
Shu
S
Department of Hepatobiliary Surgery, Center of Organ Transplantation, People's Hospital, Peking University, Beijing 100044, China.
Zhu
Ji-ye
JY
Li
Guang-ming
GM
Zhu
Feng-xue
FX
Shen
Zhan-long
ZL
Wang
Fu-shun
FS
Peng
Ji-run
JR
Leng
Xi-sheng
XS
D000293:Adolescent; D000328:Adult; D000368:Aged; D003251:Constriction, Pathologic / Q000175:diagnosis / Q000628:therapy; D005260:Female; D006499:Hepatic Artery / Q000473:pathology / Q000601:surgery; D006801:Humans; D016031:Liver Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013927:Thrombosis / Q000175:diagnosis / Q000628:therapy; D014184:Transplantation, Homologous