[1]李麟荪,施海彬.肝移植术后并发症与介入治疗[J].介入放射学杂志,2008,(09):612.
　LI Linsun,SHI Haibin.Interventional therapy of complications after liver transplantation：hepatic artery thombosis[J].journal interventional radiology,2008,(09):612.
点击复制

肝移植术后并发症与介入治疗()

PDF下载中关闭

分享到：

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

卷:
期数:
2008年09期
页码:
612
栏目:
专论
出版日期:
2008-09-15

文章信息/Info

Title:
Interventional therapy of complications after liver transplantation：hepatic artery thombosis
作者:
李麟荪; 施海彬
２１００２９南京医科大学第一附属医院
Author(s):
LI Lin－sun; SHI Hai－bin
Department of Radiology，The First Affiliated Hospital，Nanjing Medical University，Nanjing２１００２９，China
关键词:
肝移植; 并发症; 介入治疗; 肝动脉; 血栓形成
分类号:
R６１７
文献标志码:
C
摘要:
肝移植术（LT）后并发症的有效处理很大程度上决定手术的成败。LT后肝动脉血栓形成（HAT）可直接导致移植肝坏死、胆汁瘤与肝功能衰竭。及早发现并明确诊断对预后至关重要，多普勒超声可作为首选的普查方式，CTA、MRA及血管造影可以进一步明确诊断。肝动脉血栓形成后局部溶栓简便易行，与球囊扩张、支架置入技术联合应用通常取得较好的疗效，同时需寻求规范化诊疗方案；血管重建术与加压舱治疗也是有效方法，不得已时，肝脏再移植仍是重要的最后治疗措施

参考文献/References:

［１］Nussler NC，Settmacher U，Haase R，et al．Diagnosis and treatment of arterial steal syndromes in liver transplant recipients［J］．Liver Transplan，２００３，９：５９６－６０２．
［２］杨英祥，周宁新，史宪杰，等．肝移植术后HAT的治疗方法探讨［J］．消化外科，２００６，５：４２－４５．
［３］Zanoteli ML ，Vieira S，Alencastro R，et al．Management of vascular complications after pediatric liver transplantation．Transplant Proc，２００４，３６：９４５－９４６．
［４］Heffron TG，Pillen T，Welch D，et al．Hepatic artery thrombosis in pediatric liver transplantation［J］．Transplant Proc，２００３，３５：１４４７－１４４８．
［５］Abbasoglu O，Levy M，Vodapally MS ，et al．Hepatic artery stenosis after liver transplantation－incidence，presentation，treatment ，and long term outcome ［J］．Transplantation，１９９７，６３：２５０－２５５．
［６］Bhattacharjya S，Gunson BK，Mitza DF，et al．Delayed hepatic artery thrombosis inadult orthotopic liver transplantation－a１２year experience［J］．Transplantation，２００１，７１：１５９２－１５９６．
［７］Settmacher U，Stange B，Haase R，et al．Arterial complications after liver transplantation［J］．Transpl Int ，２０００，１３：３７２－３７８．
［８］Sieders E，Peeters PM，Ten Vergert EM，et al．Early vascular complications after pediatric liver transplantation［J］．Liver Transpl ，２０００，６：３２６－３３２．
［９］Leonardi MI ，Boin I，Leonardi LS．Late hepatic artery thrombo－sis after liver transplantation：clinical seting and risk factors［J］．Transplant Proc，２００４，３６：９６７－９６９．
［１０］Vit A，DeCandia A，Como G，et al．Doppler evaluation of arter－ial complications of adult orthotopic liver transplantation［J］．J Clin Ultrasound，２００３，３１：３３９－３４５．
［１１］Flint EW，Sumkin JH，Zajko AB，et al．Duplex sonography of hepatic artery thrombosis after liver transplantation［J］．AJR，１９９８，１７１：４８１－４８３．
［１２］Katyal S，Oliver JH，Buck DG，et al．Detection of vascular complications after liver transplantation：early experience in multislice CT angiography with volume rendering［J］．AJR，２０００，１７５：１７３５－１７３９．
［１３］Brancatelli G，Katyal S，Federle MP ，et al．Three－dimensional multislice helical computed tomography with the volume rendering technique in the detection of vascular complications after liver transplantation［J］．Transplantation，２００２，７３：２３７－２４２．
［１４］Glockner JF，Forauer AR，Solomon H，et al．Three dimensional gadolinium－enhanced MR angiography of vascular complications after liver transplantation［J］．AJR，２０００，１７４：１４４７－１４５３．
［１５］曹刚，周义成，胡道予，等．血管造影在肝移植术后血管并发症中的应用［J］．放射学实践，２００３，１８：３１７－３１８．
［１６］Torras J，Llado L，Figueras J，et al．Diagnostic and therapeutic management of hepatic artery thrombosis after liver transplantation［J］．Transplant Proc，１９９９，３１：２４０５．
［１７］Masault PP，Soubrane O，Cardoso J，et al．Graft saving man－agement of hepatic artery thrombosis in pediatric liver transplantation［J］．Transplant Proc，１９９７，２９：４３９．
［１８］Sheiner PA，VarmaCV，Guarera JV，et al．Selective revascu－larization of hepatic artery thrombosis after liver transplantation improves patient and graft survival［J］．Transplantation，１９９７，６４：１２９５－１２９９．
［１９］Mazariegos GV，O'Toole K，Mieles LA，et al．Hyperbaric oxy－gen therapy for hepatic artery thrombosis after liver transplantation in children［J］．Liver Transpl Surg，１９９９，５：４２９－４３６．
［２０］Orons PD，Zajko AB．Angiography and interventional procedures in liver transplantation［J］．Radiol Clin North Am，１９９５，３３：５４１－５５８．
［２１］Dudek K，Nyckowski P，Zieniewicz K，el al．Liver retransplan－tation：indications and results［J］．Transplant Proc，２００２，３４：６３８－６３９．
［２２］Vivarelli M，La Barba G，Legnani C，et al．Repeated graft loss caused by recurrent hepatic artery thrombosis after liver transplantation［J］．Liver，２００３，９：６２９－６３１．
［２３］Dubost T，Goubaux B，Dubalde M，et al．Use of hyperbaric oxygen for hepatic artery thrombosis following adult orthotopic liver transplantation［J］．Eur J Anaesthesiol，２００２，１９３：２２３－２２４
［２４］Joon PH，Hyunja K，Yoon K C，el al．The effect of hyperbaric oxygen on ischemia reperfusion injury an experimental study in a rat musculocutaneous flap［J］．Ann Plast Surg，２００３，５１：４７８－４８７．
［２５］黄金林，朱艳珍，冯闽基，等．高压氧对肝脏缺血再灌注损伤后肝功能的影响［J］．中华理疗杂志，２００１，２４：２９０－２９１．
［２６］周迈，王宇．术前高压氧治疗对肝硬化门静脉高压症病人的影响［J］．中华肝胆外科杂志，２００１，７：３３８－３４２．
［２７］Hidalgo EG，Abad J，Cantarero JM，et al．High dose intra－arterial urokinase for the treatment of hepatic artery thrombosis in liver transplantation［J］．Hepato gastro enterology，１９８９，３６：５２９－５３２．
［２８］Boyvat F，Aytekin C，Firat A，et al．Diagnostic and therapeutic management of hepatic artery thrombosis and stenosis after orthotopie and heterotopic liver transplantation［J］．Transplant Proc，２００３，３５：２７９１－２７９５．
［２９］黄勇慧，杨建勇，陈伟．介入放射学诊疗肝移植术后血管并发症的初步探讨［J］．中华放射学杂志，２００１，３５：４５３－４５６．
［３０］马朝来，张同琳，宋世兵，等．肝移植术后HAT的溶栓治疗３例报道［J］．中国微创外科杂志，２００３，３：２０６－２０８．
［３１］Cotroneo AR，DiStasi C，Cina A，et al．Stent placement in four patients with hepatic artery stenosis or thrombosis after liver transplantation［J］．Vasc Interv Radiol，２００２，１３：６１９－６２３．
［３２］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，２００７，１６：７９９－８０２．
［３３］刘凤永，王茂强，王志军，等．肝移植术后急性肝动脉血栓形成的介人治疗［J］．介入放射学杂志，２００６，１５：２２４－２２７．
［３４］向国安，黎一鸣，秦兆寅．肝动脉血供在肝脏移植中的意义［J］．陕西医学杂志，１９９６，２５：１８６－１８７．
［３５］李相成，王学浩，张峰，等．活体肝移植术肝动脉重建技术与并发症［J］．江苏医药杂志，２００：４８１－４８４．
［３６］Abou El Ella K，AI Sebayel M，Ramirez C，et al．Outcome and risk factors of hepatic artery thrombosis after orthotopic liver transplantation in adults［J］．Transplant Proc，２００１，３３：２７１２－２７１３．
［３７］Kim BW，Won JH，Lee BM，et al．Intraarterial thrombolytic treatment for hepatic artery thrombosis immediately after living donor liver transplantation［J］．Transplant Proc，２００６，３８，３１２８－３１３１．
［３８］Saad WEA，Davies MG，Saad NEA，et al．Catheter thrombo－lysis of thrombosed hepatic arteries in liver transplant recipients：predictors of success and role of thrombolysis［J］．Vasc Endovasc Surg，２００７４：１９－２６．

相似文献/References:

[1]陈岳声.肝动脉栓塞与化栓的并发症:治疗和预防[J].介入放射学杂志,1994,(03):175.
[2]陈云燕.TIPSS的并发症[J].介入放射学杂志,1994,(03):174.
[3]Artbur M.Freedman,杨建勇.经颈静脉肝内门体静脉分流术的并发症[J].介入放射学杂志,1994,(04):236.
[4]MichelleM.JMcNicholas,MichaelJ.Lee,StevenL.Dawson,等.经皮胆道引流和狭窄扩张术的并发症[J].介入放射学杂志,1995,(01):60.
[5]杨永岩,王和良.血管内介入操作并发症及其处理[J].介入放射学杂志,1996,(04):242.
[6]彭道地 蒲晓群 陈晓彬.动脉导管未闭合并右肺动脉缺如一例[J].介入放射学杂志,2005,(04):429.
　PENG Dao-di PU Xiao-qun CHEN Xiao-bin.A case of patent duetus arteriosus associated by absence of right pulmonary artery[J].journal interventional radiology,2005,(09):429.
[7]王悍 王精兵 张贵祥 王麟川.肝细胞癌动脉化疗栓塞术后并发脑梗死一例[J].介入放射学杂志,2005,(04):442.
　WANG Han WANG Jing-bing ZHANG Gui-xiang WANG Lin-chuan.Cerebral infarction aften transaterial shemoembolization for hepatocellular carcinoma a cage report[J].journal interventional radiology,2005,(09):442.
[8]杨熙章 杨利 陈自谦 杨永岩 吴纪瑞 许有进 黄淑贞 李惠敏 黄艺生.支气管动脉介入治疗中严重并发症的防治[J].介入放射学杂志,2005,(05):536.
　YANG Xi-zhang YANG Li CHEN Zi-qian YANG Yong-yan WU Ji-rui XU You-jin HUANG Shu-zheng LI Hui-min HUANG Yi-sheng.Management and prevention of serious complications in bronchial artery interventional therapy[J].journal interventional radiology,2005,(09):536.
[9]王茂强 唐文捷 林汉英 叶慧义 戴光海 王志强.经导管肝动脉化疗栓塞术后胆管损伤的临床意义[J].介入放射学杂志,2005,(05):493.
　WANG Mao-qiang TANG Wen-jie LIN Han-ying YE Hui-yi DAI Guang-hai WANG Zhi-qiang.Clinical implications of bile duct injury after transcatheter arterial chemoembolization[J].journal interventional radiology,2005,(09):493.
[10]吴达明,张华,靳勇,等.血管性介入在肝脏移植中的应用[J].介入放射学杂志,2006,(01):10.
　WU Da-ming,ZHANG Hua,JIN Yong,et al.The application of vascular interventional radiology on liver transplantation[J].journal interventional radiology,2006,(09):10.
[11]李麟荪,施海彬,赵林波.肝移植术后并发症与介入治疗二、肝动脉狭窄[J].介入放射学杂志,2008,(10):687.
　LI Linsun SHI Haibin,ZHAO Linbo.Interventional therapy of complications after liver transplantation：hepatic artery stricture[J].journal interventional radiology,2008,(09):687.
[12]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].journal interventional radiology,2008,(09):764.
[13]李麟荪,施海彬,赵林波.肝移植术后并发症与介入治疗四、门静脉并发症[J].介入放射学杂志,2008,(12):840.
　LI Linsun,SHI Haibin,ZHAO Linbo.Interventional therapy of complications after liver transplantation：complications of portal vein[J].journal interventional radiology,2008,(09):840.
[14]单鸿,姜在波.围肝移植并发症介入治疗的认识[J].介入放射学杂志,2009,(03):161.
　SHAN Hong,JIANG Zaibo.Further understanding of the complications after orthotopic liver transplantation and their interventional management[J].journal interventional radiology,2009,(09):161.
[15]李麟荪,施海彬,赵林波.肝移植术后并发症与介入治疗+五、腔静脉、肝静脉梗阻[J].介入放射学杂志,2009,(03):164.
　LI Linsun,SHI Haibin,ZHAO Linbo.Interventional therapy and complications after liver transplantation：the obstruction of the hepatic vein and inferior vena cava[J].journal interventional radiology,2009,(09):164.
[16]李麟荪,杨正强.肝移植术后并发症与介入治疗[J].介入放射学杂志,2009,(04):244.
　LI Linsun,YANG Zhengqiang.Interventional treatment of biliary complications after liver transplantation[J].journal interventional radiology,2009,(09):244.

备注/Memo

备注/Memo:
收稿日期：２００８－０１－１２
更新日期/Last Update: 2008-09-15