[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; 等
２０００３２上海复旦大学附属中山医院
Author(s):
CHENG Jie-min; WANG Jian-hua; YAN Zhi-ping; GONG Gao-quan; QIAN Sheng; LUO Jian-jun; CHEN Yi; LIU Rong; FAN Jia; ZHOU Jian; QIU Shuang-jian; HUANG 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。

参考文献/References:

［１］Boyvat F，Aytekin C，Firat A，et al．Diagnostic and therapeutic management of hepatic artery thrombosis and stenosis after orthotopic and heterotopic liver transplantation［J］．Transplant Proc，２００３，３５：２７９１-２７９５．
［２］Vivarelli M，La Barba G，Legnani C，et al．Repeated graft loss caused by recurrent hepatic artery thrombosis after liver trans-plantation［J］．Liver Transplant，２００３，９：６２９-６３１．
［３］Zanotelli MI，Vieira S，Alencastro R，et al．Management of vascular complications after pediatric liver transplantation［J］．Transplant Proc，２００４，３６：９４５-９４６．
［４］郑树森，梁廷波，俞志勇，等．肝移植后肝动脉血栓形成的诊治经验分析［J］．中华医学杂志，２００４，８４：１５３６-１５４０．
［５］Glocker JF，Forauer AR．Vascular or ischemic complications after transplantation［J］．AJR，１９９９，l７３：１０５５-１０５９．
［６］Zheng SS．Liver Transplantation［M］．Beijing：People's Medical Publishing House，２００１，１-２．
［７］Hefron TG，PiUen T，Welch D，et al．Hepatic artery thrombosis in pediatric liver transplantation［J］．Transplant Proc，２００３，３５：１４４７-１１４８．
［８］Patel JV，Weston MJ，Kessel DO，et al．Hepatic artery pseudo-aneurysm after liver transplantation：treatment with percutaneous thrombin injection［J］．Transplantation，２００３，７５：１７５５-１７５７．
［９］Tachopoulou OA，Vogt DP，Henderson JM，et al．Hepatic abscess after liver transplantation：１９９０－２０００［J］．Transplantation，２００３，７５：７９-８３．
［１０］Garcia Criado A，Gilabert R，Bargallo X，et al．Radiology in liver transplantation［J］．Semin Ultrasound CT MR，２００２，２３：１１４-１２９．
［１１］Carallari A，Vivarelli M．Treatment of vascular complicationsfollow liver transplantation：multi disciplinary approach［J］．Hepatogastroenterology，２００１，４８：１７９-１８３．
［１２］Nicholson T，Travis S，Ettles D，et al．Hepatic artery angio-plasty and embolization for hemobilia following laparoscopic cheolecystectomy［J］．Cardiovosc Intervent Radiol，１９９９，２２：２０-２４．
［１３］Stein M，Rudich SM，Riegler JL．Dissection of an illiac artery-conduit to liver allograft：treatment with an endovascular stent［J］．Liver Transplantat Surg，１９９９，５：２５２-２５４．
［１４］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，２００６，１５：１０-１３．
［１５］Hidalgo EG，Abad J，Cantarero JM，et al．High dose intra-arterial urokinase for the treatment of hepatic artery thrombosis in liver transplantation［J］．Hepatogastroenterology，１９８９，３６：５２９-５３２．
［１６］马朝来，张同琳，宋世兵，等．肝移植术后肝动脉血栓形成的溶栓治疗３例报道［J］．中国微创外科杂志，２００３，３：２０６-２O８．
［１７］Boyvat F，Aytekin C，Firat A，et al．Diagnostic and therapeutic management of hepatic artery thrombosis and stenosis after orthotopic and heterotopic liver transplantation［J］．Transplant Proc，２００３，３５：２７９１-２７９５．
［１８］罗剑钧，颜志平，王建华，等．介入治疗肝移植术后肝动脉并发症的初步经验［J］．介入放射学杂志，２００５，１４：３３-３６．
［１９］Vignali C，Cioni R，Petruzzi P，et al．Role of interventional radiology in the management of vascular complications after liver transplantation［J］．Transplant Proc，２００４，３６：５５２-５５４．
［２０］Denys AL，Qanadli SD，Durand F，et al．Feasibility and effective-ness of using coronary stents in the treatment of hepatic artery stenoses after orthotopic liver transplant preliminary report［J］．AJR，２００２，１７８：１１７５-１１７９．
［２１］Tarhan NC，Yologlu Z，Coskun M，et al．Imaging findings and interventional treatments for complications in partial liver transplant recipients［J］．Transplant Proc，２００１，３３：２７３２-２７３７．

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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