Evaluation of Hepatic Arterial Complication after Deceased Donor Liver Transplantation: A Single Centre Experience

Dr. Shruti Mehta; Dr. Kajal Patel; Dr. Pranjal Modi

Volume : VII, Issue : XII, December - 2018

Evaluation of Hepatic Arterial Complication after Deceased Donor Liver Transplantation: A Single Centre Experience

Dr. Shruti Mehta, Dr. Kajal Patel, Dr. Pranjal Modi

Abstract :

Hepatic artery complications are one of the most frequent causes of morbidity and graft loss in the immediate post liver transplant period. Early detection of this complication is critical to treat them promptly and to reduce liver damage. The developments in diagnostic radiology have helped to diagnose these complications early and could be treated subsequently.

Aim of study

To determine the incidence of hepatic arterial complications after deceased donor transplantation and to discuss relative role of different imaging modalities in detection of post liver transplant hepatic arterial complication.

Material and method

This is a retrospective study of cohort of 281 adult deceased donor liver transplantation done over period of 9 years, between May 2009 to November 2018 in Institute of Kidney Disease and Research Centre. Each patient underwent Colour Doppler study for first 5 days after transplantation and as and when clinically or biochemically indicated. The Doppler study was performed on Cx-50 Ultrasound and Color Doppler machine from Philips. C1-5 transducer was used. Triphasic contrast enhanced CT Angiography of liver was performed to confirm the Doppler findings or when the Doppler study is suboptimal.

Results :

Hepatic artery complications were found in 7 patients post operatively. (Incidence 2.5%) We found hepatic artery thrombosis was the most common complication followed by hepatic artery stenosis and arterioportal fistula.

Conclusion:

Routine Doppler sonography performed after liver transplantation allows early detection of hepatic artery complication. Further imaging study should be used as and when necessary