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J Endovasc Ther. 2005 Jun;12(3):401-4.

Use of a mechanical thrombectomy device to recanalize a subacutely occluded aortohepatic bypass after orthotopic liver transplantation.

Author information

1
Department of Diagnostic, Interventional and Pediatric Radiology, University Hospital of Bern, Inswlspital, Bern, Switherland.

Abstract

PURPOSE:

To report the use of a rotational thrombectomy device for recanalization of a thrombosed hepatic artery bypass graft in an orthotopic liver transplant (OLT).

CASE REPORT:

Six months after a second OLT in a 52-year-old man, an iliac conduit used for an aortohepatic bypass became occluded, interrupting arterial supply to the liver transplant. The 8-F Straub Rotarex system was used to successfully remove clot from the bypass graft, avoiding embolization to the hepatic arteries. The recanalized conduit has remained patent for 1 year with the patient on an anticoagulation regimen.

CONCLUSIONS:

The Rotarex thrombectomy system may be considered an alternative to other percutaneous interventions for the treatment of occluded bypass conduits supplying a liver transplant.

PMID:
15943518
DOI:
10.1583/04-1447R.1
[Indexed for MEDLINE]
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