title: Using ileocolic artery for successful graft salvage in a recipient with hepatic artery thrombosis after living donor liver transplantation: case report.
abstract: Hepatic artery (HA) occlusion is a sinister complication after liver transplantation. It frequently leads to graft loss if untreated. Urgent arterial reconstruction with thrombectomy may reduce the need for retransplantation. Living donor liver transplantation (LDLT) offers further challenges due to smaller-caliber vessels, shorter vascular stumps, and occasional multiple HA. Alternatives to the HA are needed when the native HA cannot be used or when HA complications develop. We describe the use of the recipient's ileocolic artery as an alternate HA in adult LDLT. Graft revascularization and timely salvage resulted in good patient recovery. A 6-month computed tomography angiography follow-up showed patency of the alternate vessels reconstructed.
authors.affiliation: Liver Transplantation Program, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan.
authors.forename: W-F
authors.initials: WF
authors.lastname: Li
authors.forename: T-S
authors.initials: TS
authors.lastname: Lin
authors.forename: C-L
authors.initials: CL
authors.lastname: Chen
authors.forename: A
authors.initials: A
authors.lastname: Concejero
authors.forename: S-H
authors.initials: SH
authors.lastname: Wang
authors.forename: C-C
authors.initials: CC
authors.lastname: Lin
authors.forename: Y-W
authors.initials: YW
authors.lastname: Liu
authors.forename: C-C
authors.initials: CC
authors.lastname: Yong
authors.forename: T-L
authors.initials: TL
authors.lastname: Lin
authors.forename: C-C
authors.initials: CC
authors.lastname: Wang
mesh_terms: D001157:Arterial Occlusive Diseases / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006528:Carcinoma, Hepatocellular / Q000473:pathology / Q000601:surgery; D003106:Colon / Q000098:blood supply; D005260:Female; D006499:Hepatic Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007082:Ileum / Q000098:blood supply; D008113:Liver Neoplasms / Q000473:pathology / Q000601:surgery; D016031:Liver Transplantation / Q000009:adverse effects*; D019520:Living Donors; D008875:Middle Aged; D017534:Radial Artery / Q000637:transplantation; D016879:Salvage Therapy; D017131:Thrombectomy; D013927:Thrombosis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler; D058017:Vascular Grafting; D014654:Vascular Patency