[1]李麟荪,施海彬,赵林波.肝移植术后并发症与介入治疗[J].介入放射学杂志,2008,(11):764.
　LI Linsun,SHI Haibin,ZHAO Linbo.Interventional therapy of complications after liver transplantation：arterial steal syndrome[J].J Intervent Med,2008,(11):764.
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肝移植术后并发症与介入治疗()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2008年11期
页码:
764
栏目:
专论
出版日期:
2008-11-15

文章信息/Info

Title:
Interventional therapy of complications after liver transplantation：arterial steal syndrome
作者:
李麟荪; 施海彬; 赵林波
作者单位：210029南京医科大学第一附属医院介入放射科
Author(s):
LI Lin－sun; SHI Hai－bin; ZHAO Lin－bo．
Department of Radiology，First Affiliated Hospital，Nanjing Medical University，Nanjing２１００２９，China
关键词:
肝移植; 并发症; 介入治疗; 肝动脉; 动脉窃血综合征
分类号:
R５７５
文献标志码:
C
摘要:
动脉窃血综合征（ASS）是肝移植术后相对少见的并发症，以脾动脉、胃左动脉、胃十二指肠动脉窃血导致移植肝灌注不足为特征，可导致胆道狭窄甚至移植物失功能等并发症。加强对ASS的认识，获得早期诊断和治疗对移植肝脏功能的保护相当重要。术后常规动态彩色多普勒血流显像（CDFI ）检查可筛选可疑病例，血管造影是诊断ASS的金标准。介入性脾动脉栓塞治疗微创、高效、并发症少，而脾动脉中段弹簧圈栓塞是最佳方案。

参考文献/References:

［１］Langer R，Langer M，Scholz A，et al．Splenohepatic steal syn d－rome and gastroduodenal steal syndrome in patients before and after liver transplantation［J］．Aktuelle Radiol，１９９２，２：５５－５８．
［２］陈鹏，王建华，颜志平，等．肝脏移植术后血管胆道并发症的介入治疗［J］．中国医学计算机成像杂志，２００６，１２：１２２－１２５．
［３］刘全达，周宁新，王茂强，等．肝脏移植术后脾动脉盗血综合征的诊治［J］．消化外科，２００４，３：２３２－２３４．
［４］陈立天，沈中阳，郑虹，等．原位LT后并发SASS四例［J］．中华器官移植杂志，２００７，５：３０８－３０９．
［５］Uflacker R，Selby JB，Chavin K，et al．Transcatheter splenic artery occlusion for treatment of splenic artery steal syndrome after orthotopic liver transplantation［J］．Cardiovasc Intervent Radiol，２００２，２５：３００－３０６．
［６］Nussler NC，Settmacher U，Haase R，et al．Diagnosis and treatment of arterial steal syndromes in liver transplant recipients［J］．Liver Transplant ，２００３，９：５９６－６０２．
［７］Geissler I，Lamesch P，Witzigmann H，et al．Splenohepatic arterial steal syndrome in liver transplantalion：clinical features and management ［J］．Transplant ，２００２，１５：１３９－１４１．
［８］Turron VS，Alvira LG，Jimenez M，et al，Incldence and results of arterial complicatioms in liver transplan tariom：experience in a series of４００transplants［J］．Transplant Proc，２００２，３４：２９２－２９３
［９］Troisi R，Hoste E，van Langenhove P，et al．Modulation of liver graft hemodynamics by partial ablation of the splenlc circuit：a way to increase hepatic artery flow［J］．Transplant Proc，２００１，３３：１４４５－１４４６．
［１０］Cotroneo AR，DI Stasi C，Cina A，et al．Stent placement in four patients with hepatic artery stenosis or thrombosis after liver transplantation［J］．J Vasc lnterv Radiol，２００２，１３：６１９－６２３．
［１１］De Carlis L，Sansalone CV，Rondinara GF，et al．Splenic artery steal syndrome after orthotopic liver transplantation：diagnosis and treatment ［J］．Transplant Proc，１９９３，２５：２５９４－２５９６．
［１２］Kirbas I，Ulu EM，Ozturk A，et al．Multidetector computed tomographic angiography findings of splenic artery steal syndrome in liver transplantation［J］．Transplant Proc，２００７，３９：１１７８－８０．
［１３］Sainz－Barriga M，Baccarani U，Risaliti A，et al．Successful mini－mally invasive management of late portal vein thrombosis after splenectomy due to splenic artery steal syndrome following liver transplantation：a case report［J］．Transplant proc，２００４，３６：５５８－５５９．
［１４］殷月慧，王剑飞．介入放射学在LT后并发症处理中的应用［J］．国外医学临床放射学分册，２００５，２８：２５９－２６１．
［１５］Vogl TJ ，Pegios W，Balzer JO，et al．Arterial steal syndrome in patients after liver transplantation：transarterial embolization of the splenic and gastroduodenal arteries［J］．Rofo，２００１，１７３：９０８－９１３．
［１６］Firat A，Boyvat F，Moray G，et al．Comparison of two different percutaneous splenic artery interventions in the treatment of hypersplenism：preliminary report［J］．Transplant Proc，２００５，３７：１０９４－１０９８．
［１７］刘全达，周宁新，王茂强，等．LT术后脾动脉盗血综合征［J］．中华外科杂志，２００５，４３：９８９－９９０．［１８］陈立天，沈中阳，郑虹，等．原位LT术后SASS的介入治疗［J］．中华普通外科杂志，２００７，２２：２９６－２９７．

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备注/Memo

备注/Memo:
收稿日期：２００８－０９－１１
更新日期/Last Update: 2008-11-15