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Hepatic artery thrombosis: power Doppler sonographic demonstration of intraarterial thrombus
HAT is a major complication of OLT, occurring in approximately 10% of adult recipients. Up to 50% of patients with HAT end up with complications, including biliary strictures, biloma, and abscess. HAT occurring early after liver transplantation is particularly dangerous, associated with acute fulmin...
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Published in: | Journal of ultrasound in medicine 1999-08, Vol.18 (8), p.569-571 |
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container_title | Journal of ultrasound in medicine |
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creator | Shapiro, R S Paino, J E |
description | HAT is a major complication of OLT, occurring in approximately 10% of adult recipients. Up to 50% of patients with HAT end up with complications, including biliary strictures, biloma, and abscess. HAT occurring early after liver transplantation is particularly dangerous, associated with acute fulminant hepatic failure, biliary tract necrosis, and relapsing bacteremia. Accurate and prompt diagnosis of early HAT is important, as recent evidence has shown that emergent revascularization leads to improved graff salvage and patient survival with a relatively low rate of late biliary complications. The Doppler ultrasonographic diagnosis of HAT is based on indirect findings, failure to identify or obtain a Doppler signal from the hepatic artery. In this report we describe direct sonographic visualization of thrombus within the hepatic artery. |
doi_str_mv | 10.7863/jum.1999.18.8.569 |
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Up to 50% of patients with HAT end up with complications, including biliary strictures, biloma, and abscess. HAT occurring early after liver transplantation is particularly dangerous, associated with acute fulminant hepatic failure, biliary tract necrosis, and relapsing bacteremia. Accurate and prompt diagnosis of early HAT is important, as recent evidence has shown that emergent revascularization leads to improved graff salvage and patient survival with a relatively low rate of late biliary complications. The Doppler ultrasonographic diagnosis of HAT is based on indirect findings, failure to identify or obtain a Doppler signal from the hepatic artery. In this report we describe direct sonographic visualization of thrombus within the hepatic artery.</description><identifier>ISSN: 0278-4297</identifier><identifier>EISSN: 1550-9613</identifier><identifier>DOI: 10.7863/jum.1999.18.8.569</identifier><identifier>PMID: 10447084</identifier><identifier>CODEN: JUMEDA</identifier><language>eng</language><publisher>Laurel, MD: American Institute of Ultrasound in Medicine</publisher><subject>Aged ; Angiography ; Arterial Occlusive Diseases - diagnostic imaging ; Arterial Occlusive Diseases - pathology ; Biological and medical sciences ; Blood vessels ; Diagnosis ; Diagnosis, Differential ; Doppler effect ; General aspects ; Grafts ; Hepatic Artery - diagnostic imaging ; Humans ; Male ; Medical imaging ; Medical sciences ; Thrombosis - diagnostic imaging ; Thrombosis - pathology ; Transplantation (surgical) ; Ultrasonography, Doppler, Color</subject><ispartof>Journal of ultrasound in medicine, 1999-08, Vol.18 (8), p.569-571</ispartof><rights>2016 by the American Institute of Ultrasound in Medicine</rights><rights>1999 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1995036$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10447084$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shapiro, R S</creatorcontrib><creatorcontrib>Paino, J E</creatorcontrib><title>Hepatic artery thrombosis: power Doppler sonographic demonstration of intraarterial thrombus</title><title>Journal of ultrasound in medicine</title><addtitle>J Ultrasound Med</addtitle><description>HAT is a major complication of OLT, occurring in approximately 10% of adult recipients. Up to 50% of patients with HAT end up with complications, including biliary strictures, biloma, and abscess. HAT occurring early after liver transplantation is particularly dangerous, associated with acute fulminant hepatic failure, biliary tract necrosis, and relapsing bacteremia. Accurate and prompt diagnosis of early HAT is important, as recent evidence has shown that emergent revascularization leads to improved graff salvage and patient survival with a relatively low rate of late biliary complications. The Doppler ultrasonographic diagnosis of HAT is based on indirect findings, failure to identify or obtain a Doppler signal from the hepatic artery. 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Up to 50% of patients with HAT end up with complications, including biliary strictures, biloma, and abscess. HAT occurring early after liver transplantation is particularly dangerous, associated with acute fulminant hepatic failure, biliary tract necrosis, and relapsing bacteremia. Accurate and prompt diagnosis of early HAT is important, as recent evidence has shown that emergent revascularization leads to improved graff salvage and patient survival with a relatively low rate of late biliary complications. The Doppler ultrasonographic diagnosis of HAT is based on indirect findings, failure to identify or obtain a Doppler signal from the hepatic artery. In this report we describe direct sonographic visualization of thrombus within the hepatic artery.</abstract><cop>Laurel, MD</cop><pub>American Institute of Ultrasound in Medicine</pub><pmid>10447084</pmid><doi>10.7863/jum.1999.18.8.569</doi><tpages>3</tpages></addata></record> |
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subjects | Aged Angiography Arterial Occlusive Diseases - diagnostic imaging Arterial Occlusive Diseases - pathology Biological and medical sciences Blood vessels Diagnosis Diagnosis, Differential Doppler effect General aspects Grafts Hepatic Artery - diagnostic imaging Humans Male Medical imaging Medical sciences Thrombosis - diagnostic imaging Thrombosis - pathology Transplantation (surgical) Ultrasonography, Doppler, Color |
title | Hepatic artery thrombosis: power Doppler sonographic demonstration of intraarterial thrombus |
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