肝移植术后肝动脉血栓形成的处理

Вячеслав Леонидович Коробка, М. Ю. Кострыкин, О. В. Котов, Р. О. Даблиз, Е. С. Пак
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引用次数: 1

摘要

本文报道了一例采用肝动脉选择性溶栓技术在肝动脉吻合处支架植入术进行肝血运重建术的临床病例。所应用的技术可以快速消除动脉吻合口的血栓和狭窄,提供长期效果,防止对受体造成更严重的后果,并挽救肝移植。本病例表明,血管内介入联合技术是动脉吻合术再探查和肝再移植重建的良好选择。
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The management of the hepatic artery thrombosis after liver transplantation
The clinical case of liver revascularization in a recipient using the technique of selective thrombolysis of the hepatic artery and its stenting at the arterial anastomosis site has been reported. The applied technique allowed a quick elimination of thrombosis and stenosis of the arterial anastomosis, providing a long-term effect, preventing more severe consequences for the recipient, and saving the liver graft. The presented case showed that the combined technique of endovascular intervention might be a good alternative to the reconstruction of arterial anastomosis by re-exploration and by liver retransplantation.
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