[1]程洁敏,王建华,颜志平,等.肝移植术后肝动脉早期血栓形成的介入放射学处理[J].介入放射学杂志,2007,(12):799.
 CHENG Jie-min,WANG Jian-hua,YAN Zhi-ping,et al.The interventional management for early hepatic arterial thrombosis after liver transplantation[J].journal interventional radiology,2007,(12):799.
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肝移植术后肝动脉早期血栓形成的介入放射学处理()

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

卷:
期数:
2007年12期
页码:
799
栏目:
血管介入
出版日期:
2007-12-15

文章信息/Info

Title:
The interventional management for early hepatic arterial thrombosis after liver transplantation
作者:
程洁敏王建华颜志平
200032上海复旦大学附属中山医院
Author(s):
CHENG Jie-minWANG Jian-huaYAN Zhi-pingGONG Gao-quanQIAN ShengLUO Jian-junCHEN YiLIU RongFAN JiaZHOU JianQIU Shuang-jianHUANG Xiao-wu.
Department of Radiology,Zhongshan Hospital,Fudan University,Shanghai200032,China
关键词:
肝移植血栓形成狭窄介入治疗
分类号:
R575
文献标志码:
A
摘要:
目的总结肝移植术后早期肝动脉血栓形成的介入处理经验。方法我院502例肝移植术后临床上疑有肝动脉并发症的32例患者行肝动脉造影检查,证实肝动脉主干内血栓形成(HAT)20例。对该20例患者采用经肝动脉内导管持续性尿激酶溶栓治疗及PTA和内支架植入术。结果本组HAT发生率为3.98%(20/502),发生在术后2~19d,中位时间为4.5d,20例血栓形成部位均位于肝动脉吻合口处,其中5例溶栓过程中使用球囊扩张,3例使用支架,2例出现吻合口出血而使用弹簧圈作栓塞和带膜内支架。20例均经介入溶栓治疗后获肝动脉再通。溶栓疗程2~11d,平均2.5d。结论经肝动脉内尿激酶持续性溶栓及PTA和内支架治疗效果良好,可作为肝移植术后HAT的重要治疗手段。

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备注/Memo

备注/Memo:
收稿日期:2006-12-18
更新日期/Last Update: 2007-12-15