Hepatic artery thrombosis after orthotopic liver transplantation.

摘要: OBJECTIVES Hepatic artery thrombosis after liver transplantation is uncommon, but represents an important cause of morbidity and mortality. The aim this study to identify the possible risk factors for development hepatic thrombosis, impact on patients graft survival. METHODS Between January 1994 June 1998, we reviewed retrospectively a series 86 transplant procedures performed 81 adult patients. Arterial anomalies donor graft, rejection episodes, cold ischemia time, ABO matching, use blood/fresh frozen plasma during surgery, heparin as prophylactic anticoagulation therapy were examined contributing thrombosis. RESULTS occurred in 7 out (9%). Early cases Hepatic within 15 days 4 Late 3 Analysis potential was carried out. Five 40 who did not received had (12.5%), while only 2 46 4%. On other hand, 6 developed more than 5 units blood transfusion procedure (11%) one patient less intra-operatively (3%). Management form of: thrombectomy (n = 1), followed by retransplantation 2), non-surgical or conservative treatment 4). overall survival rate (43%) (3 7). Out four deaths, directly related death iin remaining attributed pulmonary sepsis. CONCLUSIONS Early leads unless quick follows. Conservative late onset occasion has been useful. postoperative might be benefit prevention transplantation. Increased requirement red cells independently associated with increase incidence thrombosis.