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成人活体肝移植术后肝静脉狭窄的诊断与介入治疗:2例报道并文献复习 被引量:2

Diagnosis and percutaneous interventional management of hepatic venous outflow obstruction after adult-to-adult living donor liver transplantation:Two cases report and literatures review
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摘要 肝静脉狭窄是肝移植术后的一种严重并发症,在活体肝移植术后发生率较高。本文通过回顾性分析2例成人活体肝移植术后肝静脉狭窄患者的相关资料,结合国内外相关文献,探讨肝移植术后肝静脉狭窄的诊断方法及介入治疗效果。经皮肝静脉造影术可确诊肝静脉流出道梗阻,经皮经肝球囊、支架成形术是治疗活体肝移植术后早期肝静脉狭窄的一种安全、简便、有效的方法。 Hepatic venous outflow obstruction is a severe complication after liver transplantation, often occurs after living donor liver transplantation (LDLT). In this article, the clinical and imaging data of two patients with hepatic venous out- flow obstruction after LDLT were analyzed retrospectively, and the related literatures were reviewed to explore the diagno- sis and the interventional therapy of this complication. Hepatic venous outflow obstruction can be confirmed with percuta- neous transhepatic venography. Percutaneous interventional managements, including balloon angioplasty and stent implan- tation are safe, easy and effective for the treatment of hepatic venous outflow obstruction after adult-to-adult living donor liver transplantation (A-A LDLT).
出处 《中国介入影像与治疗学》 CSCD 2010年第1期27-30,共4页 Chinese Journal of Interventional Imaging and Therapy
基金 广东省自然科学基金团队项目(5200177)
关键词 肝移植 Budd—Chiari综合征 放射学 介入性 Liver transplantation Budd-Chiari syndrome Radiology, interventional
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参考文献10

  • 1Kubo K, Shibata T, Itoh K, et al. Outcome of percutaneous transhepatic venoplasty for hepatic venous outflow obstruction after living donor liver transplantation. Radiology, 2006, 239 (1) :285-290.
  • 2Ko GY, Sung KB, Yoon HK, et al. Endovascular treatment of hepatic venous outflow obstruction after living-donor liver transplantation. J Vasc Interv Radiol, 2002,13(6) :591-599.
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  • 8Lee SS, Kim KW, Park SH, et al. Value of CT and doppler sonography in the evaluation of hepatic vein stenosis after dual-graft living donor liver transplantation. AIR Am J Roentgenol, 2007,189(1) :101-108.
  • 9Wang SL, Sze DY, Busque S, et al. Treatment of hepatic venous outflow obstruction after piggyback liver transplantation. Radiology, 2005,236 (1) : 352-359.
  • 10高万勤,李云东,陈登庭,张灿斌,史海军,韦京华,方新历,张朝文,侯民聚,吴江潮.经皮血管腔内支架植入术治疗布-加综合征的应用研究[J].中国医学影像技术,2002,18(6):546-547. 被引量:2

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