Rescue Thrombectomy for Early Hepatic Artery Thrombosis Using Stent Retriever in a Child Post Combined Deceased Donor Liver and Renal Transplant
We report this case of a 5-year-old child post combined liver and renal transplant for primary hyperoxaluria. Patient developed hepatic artery thrombosis on day 3 posttransplant that was managed by reexploration and reanastomosis of the hepatic artery. On day 4, the patient again developed hepatic a...
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2021-04-01
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| Series: | Journal of Clinical Interventional Radiology ISVIR |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1728984 |
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| author | Manish Kumar Yadav Madhavan Unni Shabeer Ali U.T. Shiraz Ahmed Rather B. Venugopal |
| author_facet | Manish Kumar Yadav Madhavan Unni Shabeer Ali U.T. Shiraz Ahmed Rather B. Venugopal |
| author_sort | Manish Kumar Yadav |
| collection | DOAJ |
| description | We report this case of a 5-year-old child post combined liver and renal transplant for primary hyperoxaluria. Patient developed hepatic artery thrombosis on day 3 posttransplant that was managed by reexploration and reanastomosis of the hepatic artery. On day 4, the patient again developed hepatic artery thrombosis that failed to revascularize by surgical exploration and reanastomosis. Tissue plasminogen activator was injected into the hepatic artery intraoperatively to lyse any clot; however, no revascularization could be achieved. Subsequently, catheter angiogram confirmed no flow in the hepatic artery. A4 × 22 mm revive stent retriever was deployed across the site of occlusion and retrieved after 5 minutes of indwell time. Two such passes were made and complete recanalization of the hepatic artery was achieved. The hepatic artery remained patent as confirmed on serial Doppler images post intervention. |
| format | Article |
| id | doaj-art-d624dced3a6040f482a08d1c5091b194 |
| institution | OA Journals |
| issn | 2456-4869 |
| language | English |
| publishDate | 2021-04-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Journal of Clinical Interventional Radiology ISVIR |
| spelling | doaj-art-d624dced3a6040f482a08d1c5091b1942025-08-20T02:19:38ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Clinical Interventional Radiology ISVIR2456-48692021-04-01050319319510.1055/s-0041-1728984Rescue Thrombectomy for Early Hepatic Artery Thrombosis Using Stent Retriever in a Child Post Combined Deceased Donor Liver and Renal TransplantManish Kumar Yadav0Madhavan Unni1Shabeer Ali U.T.2Shiraz Ahmed Rather3B. Venugopal4Division of Interventional Radiology, Department of Radiology, Kerala Institute of Medical Sciences, Trivandrum, Kerala, IndiaDepartment of Radiology, Kerala Institute of Medical Sciences, Trivandrum, Kerala, IndiaDepartment of Hepatobiliary, Pancreatic and Liver Transplant Surgery, Kerala Institute of Medical Sciences, Trivandrum, Kerala, IndiaDepartment of Hepatobiliary, Pancreatic and Liver Transplant Surgery, Kerala Institute of Medical Sciences, Trivandrum, Kerala, IndiaDepartment of Hepatobiliary, Pancreatic and Liver Transplant Surgery, Kerala Institute of Medical Sciences, Trivandrum, Kerala, IndiaWe report this case of a 5-year-old child post combined liver and renal transplant for primary hyperoxaluria. Patient developed hepatic artery thrombosis on day 3 posttransplant that was managed by reexploration and reanastomosis of the hepatic artery. On day 4, the patient again developed hepatic artery thrombosis that failed to revascularize by surgical exploration and reanastomosis. Tissue plasminogen activator was injected into the hepatic artery intraoperatively to lyse any clot; however, no revascularization could be achieved. Subsequently, catheter angiogram confirmed no flow in the hepatic artery. A4 × 22 mm revive stent retriever was deployed across the site of occlusion and retrieved after 5 minutes of indwell time. Two such passes were made and complete recanalization of the hepatic artery was achieved. The hepatic artery remained patent as confirmed on serial Doppler images post intervention.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1728984combined deceased donor liver and renal transplanthepatic artery thrombosisstent retrievermechanical thrombectomy |
| spellingShingle | Manish Kumar Yadav Madhavan Unni Shabeer Ali U.T. Shiraz Ahmed Rather B. Venugopal Rescue Thrombectomy for Early Hepatic Artery Thrombosis Using Stent Retriever in a Child Post Combined Deceased Donor Liver and Renal Transplant Journal of Clinical Interventional Radiology ISVIR combined deceased donor liver and renal transplant hepatic artery thrombosis stent retriever mechanical thrombectomy |
| title | Rescue Thrombectomy for Early Hepatic Artery Thrombosis Using Stent Retriever in a Child Post Combined Deceased Donor Liver and Renal Transplant |
| title_full | Rescue Thrombectomy for Early Hepatic Artery Thrombosis Using Stent Retriever in a Child Post Combined Deceased Donor Liver and Renal Transplant |
| title_fullStr | Rescue Thrombectomy for Early Hepatic Artery Thrombosis Using Stent Retriever in a Child Post Combined Deceased Donor Liver and Renal Transplant |
| title_full_unstemmed | Rescue Thrombectomy for Early Hepatic Artery Thrombosis Using Stent Retriever in a Child Post Combined Deceased Donor Liver and Renal Transplant |
| title_short | Rescue Thrombectomy for Early Hepatic Artery Thrombosis Using Stent Retriever in a Child Post Combined Deceased Donor Liver and Renal Transplant |
| title_sort | rescue thrombectomy for early hepatic artery thrombosis using stent retriever in a child post combined deceased donor liver and renal transplant |
| topic | combined deceased donor liver and renal transplant hepatic artery thrombosis stent retriever mechanical thrombectomy |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1728984 |
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