Capabilities of splenic artery embolization in the treatment of steal syndrome after orthotopic liver transplantation
https://doi.org/10.23873/2074-0506-2010-0-1-26-29
Abstract
The paper describes a case of the rare complication of orthotopic liver transplantation - steal syndrome successfully controlled by interventional radiology techniques.
About the Authors
I. O. Rutkin
Russian Research Center of Radiology and Surgical Technologies
Russian Federation
Russian Federation
P. G. Tarazov
Russian Research Center of Radiology and Surgical Technologies
Russian Federation
Russian Federation
D. A. Granov
Russian Research Center of Radiology and Surgical Technologies
Russian Federation
Russian Federation
V. V. Osovskikh
Russian Research Center of Radiology and Surgical Technologies
Russian Federation
Russian Federation
M. I. Generalov
Russian Research Center of Radiology and Surgical Technologies
Russian Federation
Russian Federation
F. K. Zherebtsov
Russian Research Center of Radiology and Surgical Technologies
Russian Federation
Russian Federation
A. V. Kozlov
Russian Research Center of Radiology and Surgical Technologies
Russian Federation
Russian Federation
O. A. Krotova
Russian Research Center of Radiology and Surgical Technologies
Russian Federation
Russian Federation
References
1. Manner M., Otto G., Senninger N et al. Arterial steal: an unusual cause for hepatic hypoperfusion after liver transplantation. Transpl Int 1991;4:122–4.
2. Settmacher U., Stange B., Haase R. et al. Arterial complications after liver transplantation. Transpl Int 2000;13:372–8.
3. Marcos A., Olzinsky A.T., Ham J.M. et al. The interrelationship between portal and arterial blood flow after adult to adult living donor liver transplantation. Transplantation 2000;70:1697–703.
4. Dahm F., Georgiev P., Clavien P.A.. Small-for-size syndrome after partial liver transplantation: definition, mechanisms of disease and clinical implications. Am J Transplant 2005;5(11):2605–10. Review.
5. Kirbas I., Ulu E.M., Ozturk A. et al. Multidetector computed tomographic angiography findings of splenic artery steal syndrome in liver transplantation. Transplant Proc 2007;39(4):1178–80.
6. Nussler N.C., Settmacher U., Haase R. et al. Diagnosis and treatment of arterial steal syndromes in liver transplant recipients. Liver Transpl 2003;9:596-602.
7. Gruttadauria S., Mandala' L., Miraglia R. et al. Successful treatment of small-for-size syndrome in adult-to-adult living-related liver transplantation: single center series. Clin Transplant 2007;21(6):761–6.
8. Quintini C., Hirose K., Hashimoto K. et al. «Splenic artery steal syndrome» is a misnomer: the cause is portal hyperperfusion, not arterial siphon. Liver Transpl 2008;14(3):374–9.
9. Uflacker R., Selby J.B., Chavin K. et al. Transcatheter splenic artery occlusion for treatment of splenic artery steal syndrome after orthotopic liver transplantation. Cardiovasc Intervent Radiol 2002;25(4):300–6.
10. Jeng L.B., Lee C.C., Chiang H.C. et al. Indication for splenectomy in the era of living-donor liver transplantation. Transplant Proc 2008;40(8):2531–3.
11. Perkins J.D. Treatment of small-for-size syndrome. Liver Transpl 2008;14(4):571–2.
12. Barcena R., Moreno A., Foruny J.R. et al. Improved graft function in livertransplanted patients after partial splenic embolization: reversal of splenic artery steal syndrome? Clin Transplant 2006;20(4):517–23.
13. Umeda Y., Yagi T., Sadamori H. et al. Effects of prophylactic splenic artery modulation on portal overperfusion and liver regeneration in small-for-size graft. Transplantation 2008;86(5):673–80.
14. Таразов П.Г. Отдаленные результаты эмболизации селезеночной артерии при циррозе печени. Хирургия 2000;(3):18–20.
15. Sakai T., Shiraki K., Inoue H. et al. Complications of partial splenic embolization in cirrhotic patients. Dig Dis Sci 2002;47(2):388–91.
Review
For citations:
Rutkin I.O., Tarazov P.G., Granov D.A., Osovskikh V.V., Generalov M.I., Zherebtsov F.K., Kozlov A.V., Krotova O.A. Capabilities of splenic artery embolization in the treatment of steal syndrome after orthotopic liver transplantation. Transplantologiya. The Russian Journal of Transplantation. 2010;(1):26-29. (In Russ.) https://doi.org/10.23873/2074-0506-2010-0-1-26-29
Views:
715
