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  • Title: Intimal dissection of the hepatic artery after thrombectomy as a cause of graft loss in pediatric living-related liver transplantation.
    Author: Maksoud-Filho JG, Tannuri U, Gibelli NE, de Pinho-Appezzato ML, da Silva MM, Ayoub AA, Santos MM, Velhote MC, de Mello ES, Maksoud JG.
    Journal: Pediatr Transplant; 2008 Feb; 12(1):91-4. PubMed ID: 18186894.
    Abstract:
    HAT is the main cause of graft loss in pediatric living-related LTx. Revascularization of the graft by thrombectomy and re-anastomosis has been reported to be effective for graft salvage in cases of HAT and should be attempted when potential donors are not available for emergency re-transplantation. Immediate complications secondary to revascularization attempts in cases of HAT are not described. Late complications are mainly related to biliary tree ischemia. We report a case of child who experienced intimal hepatic artery dissection, which extended into intra-hepatic branches of the artery after a thrombectomy with a Fogarty balloon catheter in an attempt to restore arterial flow after HAT. This complication led to acute deterioration of the graft and the need for emergency re-transplantation.
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