原位肝移植合并并发症分期治疗临床一例

V. S. Dayneko, A. V. Osipov, O. Reznik, S. A. Platonov, M. A. Kiselev, M. I. Safoev, A. V. Sviatnenko, I. V. Ulyankina, I. Loginov, D. Kuzmin, V. Savello, V. Kravchuk, A. Demko, D. Kandyba, V. Manukovsky
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引用次数: 0

摘要

肝移植术后肝动脉血栓形成(HAT)是一种严重危及生命的并发症,可导致肝移植术后移植物丢失和死亡。根据不同的报道,HAT的发病率在2%至9%之间。现代血管内和放射外科技术允许微创肝移植血运重建术。尽管如此,即使是成功的血运重建的一个主要后果是缺血性胆管病,这可能导致缺血性胆管狭窄和吻合口漏。本文报道一例应用微创血管内及内镜技术长期治疗肝移植合并并发症的临床病例。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical case of staged treatment of combined complications of orthotopic liver transplantation
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.
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