Intra-arterial lipo-prostaglandin E1 infusion for arterial spasm in liver transplantation: A case report.
World J Clin Cases
; 11(34): 8153-8157, 2023 Dec 06.
Article
en En
| MEDLINE
| ID: mdl-38130782
ABSTRACT
BACKGROUND:
Hepatic artery obstruction is a critical consideration in graft outcomes after living donor liver transplantation. We report a case of diffuse arterial vasospasm that developed immediately after anastomosis and was managed with an intra-arterial infusion of lipo-prostaglandin E1 (PGE1). CASESUMMARY:
A 57-year-old male with hepatitis B virus-related liver cirrhosis and hepatocellular carcinoma underwent ABO-incompatible living donor liver transplant. The grafted hepatic artery was first anastomosed to the recipient's right hepatic artery stump. However, the arterial pulse immediately weakened. Although a new anastomosis was performed using the right gastroepiploic artery, the patient's arterial pulse rate remained poor. We attempted angiographic intervention immediately after the operation; it showed diffuse arterial vasospasms like 'beads on a string'. We attempted continuous infusion of lipo-PGE1 overnight via an intra-arterial catheter. The next day, arterial flow improved without any spasms or strictures. The patient had no additional arterial complications or related sequelae at the time of writing, 1-year post-liver transplantation.CONCLUSION:
Angiographic evaluation is helpful in cases of repetitive arterial obstruction, and intra-arterial infusion of lipo-PGE1 may be effective in treating diffuse arterial spasms.
Texto completo:
1
Base de datos:
MEDLINE
Idioma:
En
Revista:
World J Clin Cases
Año:
2023
Tipo del documento:
Article