Interventional Radiology Management After Early Hepatic Artery Thrombosis Following Pediatric Liver Transplantation.
Interventional radiology restored hepatic artery patency in most infants with post-transplant thrombosis
Interventional Radiology Management After Early Hepatic Artery Thrombosis Following Pediatric Liver Transplantation.
Hepatic artery complications are a major cause of early graft loss after liver transplantation (liver transplantation), especially in pediatric patients.
This study presents the outcomes of early radiological intervention in pediatric liver transplantation patients with early hepatic artery thrombosis (hepatic artery thrombosis).
Between 0 to 18 years of age who had received an liver transplantation between 2003 and 2024 and had presented hepatic artery thrombosis in the first month after liver transplantation were included.
Hepatic artery stayed open at 3 months in 10 of 13 children treated this way.
Out of 340 LTs, 13 patients (3.8%) presented early hepatic artery thrombosis and underwent an interventional radiology procedure (interventional radiology procedure) with balloon dilation and local infusion of vasodilators and/or fibrinolytic drugs.
Five patients also required stent placement.
The median time from liver transplantation to interventional radiology procedure was 1 day (0-6.5).
Interventional radiology procedure primary technical success was achieved in 11 of 13 patients (84.6%).
An early and proactive interventional radiology approach may represent a feasible option for managing early hepatic artery thrombosis after pediatric liver transplantation.
When performed promptly after diagnosis, it can help preserve hepatic artery patency and potentially reduce the need for surgical intervention and retransplantation.