Diagnosis, treatment and prevention of the hepatic artery thrombosis caused by living related liver transplantation
Abstract：Objective To discuss the symptom, diagnosis, treatment and prevention of hepatic artery thrombosis caused by living related liver transplantation. Methods Four cases of living related liver transplantation in Nagasaki University and measures of preventing the postoperative hepatic artery thrombosis were discussed. Results Microsurgery technique was used to anastomose hepatic artery and color ultrasound was used to monitor vascular complication in all four cases. Formation of hepatic artery thrombosis was found in the first case without treatment of anticoagulant on the third day after transplantation. Thrombosis extirpation and hepatic artery reanastomosis was initiated as first aid, followed by anticoagulant treatment. No hepatic artery thrombosis was found in other three cases under conventional anticoagulant treatment. All cases are in good condition now. Conclusion The effective ways to prevent formation of thrombosis include improving vascular anastomosis techniques, anastomosing mini hepatic artery under microsurgery condition, and detecting vascular complication by using color ultrasound and postoperative anticoagulation.
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Publication Date：2001-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：2( 209-210 )