Endovascular Mechanical Thromboaspiration of Right Hepatic Arterial Thrombosis After Liver Transplantation

• DOI: 10.1007/s00270-016-1538-4
• Publication Date: 2016-12-28T15:22:45Z
• Authors: Roberto Gandini; Daniel Konda; Luca Toti; Sergio Abrignani; Stefano Merolla; Giuseppe Tisone; Roberto Floris
• Keywords: Male; Settore MED/18 - CHIRURGIA GENERALE; Endothrombectomy; 03 medical and health sciences; Biloma; Endothrombectomy; Endovascular thromboaspiration; Hepatic artery thrombosis; Liver transplantation; Endovascular Procedures; Hepatic Artery; Humans; Male; Middle Aged; Postoperative Complications; Thrombectomy; Thrombosis; Tomography, X-Ray Computed; Treatment Outcome; Ultrasonography; Liver Transplantation; Hepatic Artery; Postoperative Complications; 0302 clinical medicine; Humans; Tomography; Thrombectomy; Ultrasonography; Endovascular Procedure; Liver transplantation; Endovascular Procedures; Thrombosis; Middle Aged; X-Ray Computed; Liver Transplantation; 3. Good health; Endovascular thromboaspiration; Treatment Outcome; Hepatic artery thrombosi; Biloma; Thrombosi; Postoperative Complication; Tomography, X-Ray Computed; Human

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 A 4MAX (Penumbra, Alameda, USA) catheter was advanced and withdrawn under constant aspiration until complete clot removal was achieved.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.