title: [Diagnosis and management for early hepatic artery thrombosis after liver transplantation].
abstract: OBJECTIVE
  To explore the diagnosis and management of early hepatic artery thrombosis (HAT) after liver transplantation.
  
  
  METHODS
  Routine examination of Color Doppler Imagine (CDI) was used to detect hepatic artery flow after liver transplantation in 220 cases from April 2001 to November 2004. Suspected patients were further confirmed by immediate hepatic artery angiography, and continuous infusion of urokinase through hepatic artery with catheter was performed to the patients with HAT.
  
  
  RESULTS
  HAT was identified in 6 patients (2.7%), occurring 5.5 days (2 - 19 days) after liver transplantation. Hepatic artery recanalization was obtained in 6 cases. One patient died from lung infection 2 months after liver transplantation. One patient underwent the second liver transplantation because of the recurrence of HAT 6 months after the first transplantation, but died from multiple system organ failure 2 months after the operation. The other 4 cases have been surviving well disease-freely.
  
  
  CONCLUSIONS
  CDI is useful for the diagnosis of early HAT after liver transplantation. Contributes to recovery of the hepatic artery flow, continuous infusion of urokinase through hepatic artery with catheter may be the first choice of the therapy for early HAT.
authors.affiliation: Liver Cancer Institute, Fudan University, Shanghai 200032, China.
authors.forename: Jian
authors.initials: J
authors.lastname: Zhou
authors.forename: Jia
authors.initials: J
authors.lastname: Fan
authors.forename: Ying-hao
authors.initials: YH
authors.lastname: Shen
authors.forename: Jian-hua
authors.initials: JH
authors.lastname: Wang
authors.forename: Zhi-quan
authors.initials: ZQ
authors.lastname: Wu
authors.forename: Shuang-jian
authors.initials: SJ
authors.lastname: Qiu
authors.forename: Zhi-ping
authors.initials: ZP
authors.lastname: Yan
authors.forename: Jie-ming
authors.initials: JM
authors.lastname: Cheng
authors.forename: Xiao-wu
authors.initials: XW
authors.lastname: Huang
authors.forename: Yong-sheng
authors.initials: YS
authors.lastname: Xiao
authors.forename: Jian
authors.initials: J
authors.lastname: Sun
authors.forename: Zhao-you
authors.initials: ZY
authors.lastname: Tang
authors.forename: Yu-qi
authors.initials: YQ
authors.lastname: Wang
mesh_terms: D000328:Adult; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy*; D002404:Catheterization; D006499:Hepatic Artery; D006801:Humans; D016031:Liver Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013927:Thrombosis / Q000209:etiology / Q000628:therapy; D018615:Ultrasonography, Doppler, Color