Use of a mechanical thrombectomy device to recanalize a subacutely occluded aortohepatic bypass after orthotopic liver transplantation.
OBJECTIVE
To report the use of a rotational thrombectomy device for recanalization of a thrombosed hepatic artery bypass graft in an orthotopic liver transplant (OLT).


METHODS
Six months after a second OLT in a 52-year-old man, an iliac conduit used for an aortohepatic bypass became occluded, interrupting arterial supply to the liver transplant. The 8-F Straub Rotarex system was used to successfully remove clot from the bypass graft, avoiding embolization to the hepatic arteries. The recanalized conduit has remained patent for 1 year with the patient on an anticoagulation regimen.


CONCLUSIONS
The Rotarex thrombectomy system may be considered an alternative to other percutaneous interventions for the treatment of occluded bypass conduits supplying a liver transplant.
Loupatatzis
Christos
C
Department of Diagnostic, Interventional and Pediatric Radiology, University Hospital of Bern, Inswlspital, Bern, Switherland.
Stoupis
Christoforos
C
Seiler
Christian
C
Candinas
Daniel
D
Do
Dai-Do
DD
Triller
Jürgen
J
D000714:Anastomosis, Surgical / Q000009:adverse effects; D000792:Angiography; D001012:Aorta, Abdominal / Q000601:surgery*; D004867:Equipment Design; D005500:Follow-Up Studies; D006499:Hepatic Artery / Q000601:surgery*; D006801:Humans; D017093:Liver Failure / Q000601:surgery; D016031:Liver Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery; D017131:Thrombectomy / Q000295:instrumentation*; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*