Long-term outcomes after stent insertion in patients with early and late hepatic vein outflow obstruction after living donor liver transplantation
Annals of Surgical Treatment and Research
;
: 333-339, 2018.
Article
Dans Anglais
| WPRIM
| ID: wpr-719202
ABSTRACT
PURPOSE:
The purpose of this study was to describe the long-term effects of stenting in patients with hepatic venous outflow obstruction (HVOO), who underwent living donor liver transplantation (LDLT).METHODS:
Between January 2000 and December 2009, 622 adult patients underwent LDLT at our hospital, and of these patients, 21 (3.3%) were diagnosed with HVOO; among these patients, 17 underwent stenting. The patients were divided into early or late groups according to the time of their HVOO diagnoses (cutoff 60 days after liver transplantation).RESULTS:
The median follow-up period was 54.2 months (range, 0.5–192.4 months). Stent insertion was successful in 8 of 10 patients in the early group and 6 of 7 in the late group. The 5-year primary patency rates were 46% and 20%, respectively. In both groups, patients with recurrent HVOO at the beginning showed kinking confirmed by venography. Patients who carried their stents for more than 3 years maintained long-term patency. There was no significant difference in spleen size between groups; however, when the groups were compared according to whether they maintained patency, spleens tended to be smaller in the patency-maintained group.CONCLUSION:
Unlike stenosis, if kinking is confirmed on venography, stenting is not feasible in the long term for patients with LDLT.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Rate
/
Phlébographie
/
Endoprothèses
/
Études de suivi
/
Transplantation hépatique
/
Sténose pathologique
/
Donneur vivant
/
Diagnostic
/
Syndrome de Budd-Chiari
/
Veines hépatiques
Type d'étude:
Etude diagnostique
/
Étude observationnelle
/
Étude pronostique
Limites du sujet:
Adulte
/
Humains
langue:
Anglais
Texte intégral:
Annals of Surgical Treatment and Research
Année:
2018
Type:
Article
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