Clinical case of staged treatment of combined complications of orthotopic liver transplantation
https://doi.org/10.15825/1995-1191-2023-1-31-37
Abstract
Hepatic artery thrombosis (HAT) following liver transplantation (LT) is a severe life-threatening complication that can lead to graft loss and mortality after LT. According to different reports, HAT incidence ranges from 2% to 9%. Modern endovascular and radiosurgical techniques allow for minimally invasive liver graft revascularization. Nonetheless, a major consequence of even a successful revascularization is ischemic cholangiopathy, which can lead to ischemic biliary strictures and anastomotic leak. The paper presents a clinical case of long-term complex treatment of combined complications of LT using minimally invasive endovascular and endoscopic techniques.
Keywords
orthotopic liver transplantation,
biliary strictures,
hepatic artery thrombosis,
endobiliary stenting
Supporting agencies: Saint-Petersburg Research Institute of Emergency named after I.I. Dzhanelidze, Russia; North-Western State Medical University named after I.I. Mechnikov, Russia.
About the Authors
V. S. Dayneko
St. Petersburg Research Institute of Emergency Medicine; North-Western State Medical University
Russian Federation
Russian Federation
Vasiliy Daineko
Address: 3, Budapestskaya str., St. Petersburg. Phone: (911) 027-48-44
A. V. Osipov
St. Petersburg Research Institute of Emergency Medicine
Russian Federation
Russian Federation
Alexey Vladimirovich Osipov
St. Petersburg
O. N. Reznik
St. Petersburg Research Institute of Emergency Medicine; North-Western State Medical University
Russian Federation
Russian Federation
Oleg Nicolaevich Reznik
St. Petersburg
S. A. Platonov
St. Petersburg Research Institute of Emergency Medicine
Russian Federation
Russian Federation
Sergey Alexandrovich Platonov
St. Petersburg
M. A. Kiselev
St. Petersburg Research Institute of Emergency Medicine
Russian Federation
Russian Federation
Maksim Anatolievich Kiselev
St. Petersburg
M. I. Safoev
St. Petersburg Research Institute of Emergency Medicine
Russian Federation
Russian Federation
Musa Iskanderovich Safoev
St. Petersburg
A. V. Sviatnenko
St. Petersburg Research Institute of Emergency Medicine
Russian Federation
Russian Federation
Andrey Vladimirovich Sviatnenko
St. Petersburg
I. V. Ulyankina
St. Petersburg Research Institute of Emergency Medicine
Russian Federation
Russian Federation
Irina Vladimirovna Ulyankina
St. Petersburg
I. V. Loginov
St. Petersburg Research Institute of Emergency Medicine
Russian Federation
Russian Federation
Igor Valentinovich Loginov
St. Petersburg
D. O. Kuzmin
St. Petersburg Research Institute of Emergency Medicine
Russian Federation
Russian Federation
Denis Olegovich Kuzmin
St. Petersburg
V. E. Savello
St. Petersburg Research Institute of Emergency Medicine
Russian Federation
Russian Federation
Victor Evgenievich Savello
St. Petersburg
V. N. Kravchuk
North-Western State Medical University
Russian Federation
Russian Federation
Vyachslav Nikolaevich Kravchuk
St. Petersburg
A. E. Demko
St. Petersburg Research Institute of Emergency Medicine
Russian Federation
Russian Federation
Andrey Evgenievich Demko
St. Petersburg
D. V. Kandyba
St. Petersburg Research Institute of Emergency Medicine
Russian Federation
Russian Federation
Dmitry Vyacheslavovich Kandyba
St. Petersburg
V. A. Manukovsky
St. Petersburg Research Institute of Emergency Medicine
Russian Federation
Russian Federation
Vadim Anatolievich Manukovsky
St. Petersburg
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Supplementary files
Review
For citations:
Dayneko V.S., Osipov A.V., Reznik O.N., Platonov S.A., Kiselev M.A., Safoev M.I., Sviatnenko A.V., Ulyankina I.V., Loginov I.V., Kuzmin D.O., Savello V.E., Kravchuk V.N., Demko A.E., Kandyba D.V., Manukovsky V.A. Clinical case of staged treatment of combined complications of orthotopic liver transplantation. Russian Journal of Transplantology and Artificial Organs. 2023;25(1):31-37. https://doi.org/10.15825/1995-1191-2023-1-31-37
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