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CardioVascular and Interventional Radiology

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01-04-2017 | Case Report

Endovascular Mechanical Thromboaspiration of Right Hepatic Arterial Thrombosis After Liver Transplantation

Authors: Roberto Gandini, Daniel Konda, Luca Toti, Sergio Abrignani, Stefano Merolla, Giuseppe Tisone, Roberto Floris

Published in: CardioVascular and Interventional Radiology | Issue 4/2017

Abstract

A 56-year-old male Patient presented 27 days after a liver transplantation (LT) with fever and hyperbilirubinemia. He underwent CT examination resulting in a diagnosis of right hepatic artery (HA) occlusion with hepatic bilomas. Once placed a long right femoral 6F introducer at the origin of the HA, a 0.014” guidewire was advanced over the thrombus, in a segmental branch. A 4MAX (Penumbra, Alameda, USA) catheter was advanced and withdrawn under constant aspiration until complete clot removal was achieved. Follow-up CT and D-US assessments at 12 months demonstrated regular HA patency and bilomas reduction. Endovascular thromboaspiration is an effective strategy in cases of E-HAT after LT.

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Title: Endovascular Mechanical Thromboaspiration of Right Hepatic Arterial Thrombosis After Liver Transplantation
Authors: Roberto Gandini
Daniel Konda
Luca Toti
Sergio Abrignani
Stefano Merolla
Giuseppe Tisone
Roberto Floris
Publication date: 01-04-2017
Publisher: Springer US
Published in: CardioVascular and Interventional Radiology / Issue 4/2017
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-016-1538-4

At a glance: The STEP trials

Springer Medicine

Endovascular Mechanical Thromboaspiration of Right Hepatic Arterial Thrombosis After Liver Transplantation

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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