EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

European Journal of Pharmaceutical and Medical Research (EJPMR) has indexed with various reputed international bodies like : Google Scholar , Indian Science Publications , InfoBase Index (In Process) , SOCOLAR, China , Research Bible, Fuchu, Tokyo. JAPAN , International Society for Research activity (ISRA) , Scientific Indexing Services (SIS) , Polish Scholarly Bibliography , Global Impact Factor (GIF) (Under Process) , Universal Impact Factor , International Scientific Indexing (ISI), UAE  , Index Copernicus , CAS (A Division of American Chemical Society) USA (Under Process) , Directory of Open Access Journal (DOAJ, Sweden, in process) , UDLedge Science Citation Index , CiteFactor , Directory Of Research Journal Indexing (DRJI) , Indian citation Index (ICI) , Journal Index (JI, Under Process) , Directory of abstract indexing for Journals (DAIJ) , Open Access Journals (Under Process) , Impact Factor Services For International Journals (IFSIJ) , Cosmos Impact Factor , Jour Informatics (Under Process) , Eurasian Scientific Journal Index (ESJI) , International Innovative Journal Impact Factor (IIJIF) , Science Library Index, Dubai, United Arab Emirates , Pubmed Database [NLM ID: 101669306] (Under Process) , IP Indexing (Under Process) , 

 ISSN 2394-3211

Impact Factor: 4.897

 ICV - 79.57

Abstract

SAFETY AND EFFICACY OF THE ENDOVASCULAR INTERVENTIONAL THERAPY FOR HEPATIC ARTERY COMPLICATIONS AFTER THE LIVER TRANSPLANTATION

Anu John, Qingyun Long*, Baolin Wu and Jun Zhou

ABSTRACT

Aim: To analyze the safety and efficacy of endovascular interventional treatment for hepatic artery complications after liver transplantation (LT). Materials and methods: Twelve patients who have undergone endovascular interventional treatment for the hepatic artery complications after liver transplantation were retrospectively analyzed. Techniques included catheter-directed thrombolysis (CDT), percutaneous transluminal angioplasty (PTA) and stent placement. Lesion characteristics, treatment techniques and outcomes were depicted and evaluated. Results: Five patients developed hepatic artery thrombosis (HAT), three patients developed hepatic artery stenosis (HAS), two patients developed HAT combined with HAS and two patients developed hepatic artery pseudoaneurysm (HAP). Ten patients were successfully treated, the primary technical success rate was 83% (10/12). Two cases were observed with complications during the procedure and treated subsequently. One patient was complicated by rupture during PTA and was treated with a graft-covered stent. Serum alanine aminotransaminase (ALT),aspartate aminotransferase (AST), total bilirubin (TBil) and direct bilirubin (DBil) decreased remarkably (P < 0.01) two weeks after the treatment. All successfully treated cases were followed up for 2-24 months, two patients underwent a repeated treatment due to restenosis and acute thrombosis after the operation. Conclusion: Endovascular interventional treatment is a safe, effective and minimally invasive technique and can be regarded as the first-line treatment for hepatic artery complications after LT for selected patients.

Keywords: Hepatocellular carcinoma, Transarterial chemoembolization, liver transplantation, Complications, Hepatic artery, Endovascular therapy.


[Full Text Article]

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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (Under Process)