Early diagnosis and treatment of splenic artery steal syndrome after liver transplantation
Objective: to study the incidence of splenic artery steal syndrome (SASS) in our own series of liver transplant surgeries and to determine diagnostic and therapeutic tactics. Materials and Methods. During the 3.5 years of existence of the liver transplant program in the Republic of Tatarstan, 77 cad...
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| Format: | Article |
| Language: | Russian |
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Federal Research Center of Transplantology and Artificial Organs named after V.I.Shumakov
2022-09-01
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| Series: | Вестник трансплантологии и искусственных органов |
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| Online Access: | https://journal.transpl.ru/vtio/article/view/1533 |
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| author | А. А. Kirshin А. Yu. Teregulov A. R. Kirshina |
| author_facet | А. А. Kirshin А. Yu. Teregulov A. R. Kirshina |
| author_sort | А. А. Kirshin |
| collection | DOAJ |
| description | Objective: to study the incidence of splenic artery steal syndrome (SASS) in our own series of liver transplant surgeries and to determine diagnostic and therapeutic tactics. Materials and Methods. During the 3.5 years of existence of the liver transplant program in the Republic of Tatarstan, 77 cadaveric liver transplantations (LTx) have been performed. Postoperative SASS occurred in 4 cases (5.2%). Among the patients were 3 women and 1 man; mean age was 38 years. Doppler ultrasonography of the liver vessels and celiacography were used for diagnosis. Proximal splenic embolization was used as a way to correct the syndrome. Results. In all clinical cases, SASS was timely diagnosed and corrected by endovascular image-guided intervention. The patients were discharged with good hepatic graft function. The complication did not affect the length of hospital stay. Conclusion. SASS remains a severe vascular complication of LTx, which can lead to graft dysfunction and possible loss. Timely detection and treatment prevent severe consequences for the liver recipient. |
| format | Article |
| id | doaj-art-bdee851ebd254e0199ab73c75ddbcc01 |
| institution | DOAJ |
| issn | 1995-1191 |
| language | Russian |
| publishDate | 2022-09-01 |
| publisher | Federal Research Center of Transplantology and Artificial Organs named after V.I.Shumakov |
| record_format | Article |
| series | Вестник трансплантологии и искусственных органов |
| spelling | doaj-art-bdee851ebd254e0199ab73c75ddbcc012025-08-20T03:01:38ZrusFederal Research Center of Transplantology and Artificial Organs named after V.I.ShumakovВестник трансплантологии и искусственных органов1995-11912022-09-01243576310.15825/1995-1191-2022-3-57-631120Early diagnosis and treatment of splenic artery steal syndrome after liver transplantationА. А. Kirshin0А. Yu. Teregulov1A. R. Kirshina2Republican Clinical Hospital; Kazan Federal UniversityRepublican Clinical HospitalRepublican Clinical HospitalObjective: to study the incidence of splenic artery steal syndrome (SASS) in our own series of liver transplant surgeries and to determine diagnostic and therapeutic tactics. Materials and Methods. During the 3.5 years of existence of the liver transplant program in the Republic of Tatarstan, 77 cadaveric liver transplantations (LTx) have been performed. Postoperative SASS occurred in 4 cases (5.2%). Among the patients were 3 women and 1 man; mean age was 38 years. Doppler ultrasonography of the liver vessels and celiacography were used for diagnosis. Proximal splenic embolization was used as a way to correct the syndrome. Results. In all clinical cases, SASS was timely diagnosed and corrected by endovascular image-guided intervention. The patients were discharged with good hepatic graft function. The complication did not affect the length of hospital stay. Conclusion. SASS remains a severe vascular complication of LTx, which can lead to graft dysfunction and possible loss. Timely detection and treatment prevent severe consequences for the liver recipient.https://journal.transpl.ru/vtio/article/view/1533liver transplantationsplenic artery steal syndromesplenic embolization |
| spellingShingle | А. А. Kirshin А. Yu. Teregulov A. R. Kirshina Early diagnosis and treatment of splenic artery steal syndrome after liver transplantation Вестник трансплантологии и искусственных органов liver transplantation splenic artery steal syndrome splenic embolization |
| title | Early diagnosis and treatment of splenic artery steal syndrome after liver transplantation |
| title_full | Early diagnosis and treatment of splenic artery steal syndrome after liver transplantation |
| title_fullStr | Early diagnosis and treatment of splenic artery steal syndrome after liver transplantation |
| title_full_unstemmed | Early diagnosis and treatment of splenic artery steal syndrome after liver transplantation |
| title_short | Early diagnosis and treatment of splenic artery steal syndrome after liver transplantation |
| title_sort | early diagnosis and treatment of splenic artery steal syndrome after liver transplantation |
| topic | liver transplantation splenic artery steal syndrome splenic embolization |
| url | https://journal.transpl.ru/vtio/article/view/1533 |
| work_keys_str_mv | AT aakirshin earlydiagnosisandtreatmentofsplenicarterystealsyndromeafterlivertransplantation AT ayuteregulov earlydiagnosisandtreatmentofsplenicarterystealsyndromeafterlivertransplantation AT arkirshina earlydiagnosisandtreatmentofsplenicarterystealsyndromeafterlivertransplantation |