title: Surgical and endovascular treatment of hepatic arterial complications following liver transplant.
abstract: Vascular complications after liver transplantation increase post-operative morbidity and contribute to the incidence of retransplantation. Vascular complications comprise arterial, caval, and portal venous pathology, with the majority of complications being arterial in etiology, including anastomotic stricture, pseudoaneurysm, and thrombosis. There are two major therapeutic options for the treatment of these arterial complications: endovascular intervention and surgery. The former includes intra-arterial thrombolysis, embolization, percutaneous transluminal angioplasty, and stent placement. The latter includes thrombectomy, reanastomosis, and retransplantation. Although surgical treatment has been considered the first choice for management in the past, advances in endovascular intervention have increased and make it a viable therapeutic option following orthotopic liver transplantation. This review focuses on the role of surgical and endovascular therapy in the management of hepatic arterial complications after liver transplantation.
authors.affiliation: Division of Interventional Radiology, Department of Radiology, Wexner Medical Center, The Ohio State University, Columbus, OH, USA.
authors.forename: Jun
authors.initials: J
authors.lastname: Chen
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Weinstein
authors.forename: Sylvester
authors.initials: S
authors.lastname: Black
authors.forename: James
authors.initials: J
authors.lastname: Spain
authors.forename: Paul S
authors.initials: PS
authors.lastname: Brady
authors.forename: Joshua D
authors.initials: JD
authors.lastname: Dowell
mesh_terms: D001157:Arterial Occlusive Diseases / Q000209:etiology / Q000601:surgery*; D006499:Hepatic Artery / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008107:Liver Diseases / Q000601:surgery*; D016031:Liver Transplantation / Q000009:adverse effects*; D013927:Thrombosis / Q000209:etiology / Q000628:therapy*
keywords: arterial vascular complication; endovascular therapy; liver transplant; stenting