title: Endovascular Mechanical Thromboaspiration of Right Hepatic Arterial Thrombosis After Liver Transplantation.
abstract: A 56-year-old male Patient presented 27 days after a liver transplantation (LT) with fever and hyperbilirubinemia. He underwent CT examination resulting in a diagnosis of right hepatic artery (HA) occlusion with hepatic bilomas. Once placed a long right femoral 6F introducer at the origin of the HA, a 0.014" guidewire was advanced over the thrombus, in a segmental branch. A 4MAX (Penumbra, Alameda, USA) catheter was advanced and withdrawn under constant aspiration until complete clot removal was achieved. Follow-up CT and D-US assessments at 12 months demonstrated regular HA patency and bilomas reduction. Endovascular thromboaspiration is an effective strategy in cases of E-HAT after LT.
authors.affiliation: Department of Diagnostic Imaging, Molecular Imaging, Interventional Radiology and Radiotherapy, PTV Foundation, "Tor Vergata" Hospital, University of Rome "Tor Vergata", Viale Oxford 81, 00133, Rome, Italy.
authors.forename: Roberto
authors.initials: R
authors.lastname: Gandini
authors.affiliation: Department of Diagnostic Imaging, Molecular Imaging, Interventional Radiology and Radiotherapy, PTV Foundation, "Tor Vergata" Hospital, University of Rome "Tor Vergata", Viale Oxford 81, 00133, Rome, Italy.
authors.forename: Daniel
authors.initials: D
authors.lastname: Konda
authors.affiliation: Department of Surgery, Section of Transplantation, PTV Foundation, "Tor Vergata" Hospital, University of Rome "Tor Vergata", Viale Oxford 81, 00133, Rome, Italy.
authors.forename: Luca
authors.initials: L
authors.lastname: Toti
authors.affiliation: Department of Diagnostic Imaging, Molecular Imaging, Interventional Radiology and Radiotherapy, PTV Foundation, "Tor Vergata" Hospital, University of Rome "Tor Vergata", Viale Oxford 81, 00133, Rome, Italy. stem83@gmail.com.
authors.forename: Sergio
authors.identifier: http://orcid.org/0000-0001-8690-5553
authors.initials: S
authors.lastname: Abrignani
authors.affiliation: Department of Diagnostic Imaging, Molecular Imaging, Interventional Radiology and Radiotherapy, PTV Foundation, "Tor Vergata" Hospital, University of Rome "Tor Vergata", Viale Oxford 81, 00133, Rome, Italy.
authors.forename: Stefano
authors.initials: S
authors.lastname: Merolla
authors.affiliation: Department of Surgery, Section of Transplantation, PTV Foundation, "Tor Vergata" Hospital, University of Rome "Tor Vergata", Viale Oxford 81, 00133, Rome, Italy.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Tisone
authors.affiliation: Department of Diagnostic Imaging, Molecular Imaging, Interventional Radiology and Radiotherapy, PTV Foundation, "Tor Vergata" Hospital, University of Rome "Tor Vergata", Viale Oxford 81, 00133, Rome, Italy.
authors.forename: Roberto
authors.initials: R
authors.lastname: Floris
mesh_terms: D057510:Endovascular Procedures / Q000379:methods*; D006499:Hepatic Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D016031:Liver Transplantation; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D017131:Thrombectomy / Q000379:methods*; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014463:Ultrasonography
keywords: Biloma; Endothrombectomy; Endovascular thromboaspiration; Hepatic artery thrombosis; Liver transplantation