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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Endovascular Management in Post Liver Transplant Recipients with Venous Anastomotic Site Stenosis and an Associated Iatrogenic Arterio-Portal Fistula: Case Series and Review of Literature
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Endovascular Management in Post Liver Transplant Recipients with Venous Anastomotic Site Stenosis and an Associated Iatrogenic Arterio-Portal Fistula: Case Series and Review of Literature

机译：后肝脏移植受者的血管血管管理，静脉吻合点狭窄和相关的政治性阿尔瑟门瘘：案例系列和文学审查

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摘要

Venous anastomotic site stenosis is a relatively uncommon but an important complication seen in patients post-liver transplantsurgery. These stenosis can occur at hepatic vein, portal vein or Inferior Vena Cava (IVC) anastomotic site and may result in hepaticcongestion leading to hepatic dysfunction and massive ascites. Routine Doppler ultrasonography is critical for early detection of thesecomplications and in guiding further management. With the advancement in interventional radiology, most of these complications cannow be managed by minimally invasive endovascular methods with successful long term outcome. This case series of three patients(one cadaveric and two live related donor recipient) portrays the role of doppler ultrasonography in post-liver transplant graft surveillanceand concludes that ultrasound plays a critical role in early diagnosis of venous anastomotic stenosis. The series also highlights the keyrole of interventional radiology in treating the stenosis safely and successfully by balloon angioplasty with or without stenting.
机译：静脉吻合网站狭窄是一种相对罕见的肝脏移植后患者患者的重要并发症。这些狭窄可以发生在肝静脉，门静脉或下静脉内脉络膜（IVC）吻合点处发生，并且可能导致肝功能障碍和大规模腹水导致肝功能障碍。常规多普勒超声检查对于早期检测和引导进一步管理至关重要。随着介入放射学的进步，大多数并发症的混合物通过最小的侵袭性血管内方法进行管理，具有成功的长期结果。这种情况系列3名患者（一个尸体和两个活相关的捐赠者）描绘了多普勒超声检查在肝脏后移植移植术后的作用得出结论认为超声波在早期诊断静脉吻合狭窄的诊断中发挥着关键作用。该系列还突出了介入放射学的键胶，在用或没有支架的情况下，通过气球血管成形术治疗狭窄和成功。

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