Hepatic Artery Thrombosis after Orthotopic Liver Transplantation-Advanced Research in Gastroenterology & Hepatology-Juniper Publishers

JUNIPER PUBLISHERS-Advanced Research in Gastroenterology & Hepatology

 

HEPATIC ARTERY THROMBOSIS AFTER ORTHOTOPIC LIVER TRANSPLANTATION 

Authored by Lucas Souto Nacif

Introduction: Hepatic artery thrombosis (HAT) is a feared complication in the postoperative period of liver transplantation (LT). It is one of the most serious vascular complications in the postoperative period and associated with a significant increasing in morbidity, graft loss and mortality.
Method: Non-Systematic literature review through Medline-PubMed database with headings related to hepatic artery thrombosis and liver transplantation in articles published until November 2012 was done.
Discussion: HAT incidence is 2.5 to 6.8% of adult recipients of liver transplantation. Risk factors for HAT surgical technique are related to more frequent and significant, and are mainly associated with early HAT. HAT may present variable clinical manifestations and lead to choose the best management and approach therapy to this specific complication. Minimizing risk factors, establish protocols for early diagnosis and proper surgical technique must be measured standard of excellence centers that wish to avoid this dreaded complication.
Conclusion: The real goal to decrease the incidence of HAT with their high rates of mortality, morbidity and graft loss; the liver transplant team needs earlier diagnosis and best surgical technique to avoid this complication.


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