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Splenic artery steal syndrome after liver transplantation – prophylaxis or treatment?: A case report and literature review

Usai S, Colasanti M, Meniconi RL, Ferretti S, Guglielmo N, Mariano G, Berardi G, Cinquepalmi M, Angrisani M, Ettorre GM

Splenic artery steal syndrome (SASS) is a cause of graft hypoperfusion leading to the development of biliary tract complications, graft failure, and in some cases to retransplantation. Its management is...
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Anatomical variations of the hepatic artery in it’s extra hepatic journey: a cadaveric study with its clinical implications

Sukumaran TT, Joseph S, Ramakrishnan S, Mathew AJ

Vascular anomalies are a serendipitous finding during surgeries and diagnostic angiography. Such variations are frequently encountered in the abdominal region. These anomalies are usually asymptomatic but the presence of hepatic...
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Improving the Specificity of CT Angiography for the Diagnosis of Hepatic Artery Occlusion after Liver Transplantation in Suspected Patients with Doppler Ultrasound Abnormalities

Kim JS, Kim DW, Kim KW, Song GW, Lee SG

Objective: To investigate whether the diagnostic performance of CT angiography (CTA) could be improved by modifying the conventional criterion (anastomosis site abnormality) to diagnose hepatic artery occlusion (HAO) after liver...
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Jejunal Migration of the Stent-Graft Used for Common Hepatic Artery Pseudoaneurysm

Kim J, Lee BH

Hemorrhage after pancreaticobiliary surgery is an infrequent but fatal complication. It is primarily caused by rupture of the pseudoaneurysm, and treatment options include endovascular coil embolization or endovascular stent-graft placement....
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Salvage aorto-hepatic jump graft for hepatic artery thrombosis following living donor liver transplantation: a case report with 10-year follow-up

Choi JU, Hwang S, Ahn CS, Moon DB, Park GC

Hepatic artery thrombosis (HAT) following living donor liver transplantation (LDLT) is a lethal complication. We present the case of a patient who underwent salvage redo hepatic artery reconstruction using an...
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Hepatic artery reconstruction using interposition of autologous saphenous vein conduit for living donor liver transplantation: a case report

Moon DB, Hwang S, Jung DH, Ahn CS, Park GC, Ha TY, Song GW, Yoon YI, Lee SG

We have preferentially used the right gastroepiploic artery (RGEA) as an alternative for the recipient hepatic artery (HA) inflow during living donor liver transplantation (LDLT), but it was not always...
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Portal vein arterialization following a radical left extended hepatectomy for Klatskin tumor: A case report

Basso CD, Meniconi RL, Usai S, Guglielmo N, Colasanti M, Ferretti S, Sandri GBL, Ettorre GM

Portal vein arterialization (PVA) has been attracting attention for its role as a salvage inf low technique in various clinical applications. Initially performed in shunt surgery for portal hypertension, with the...
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Laparoscopic pancreaticoduodenectomy with excision of aberrant right hepatic artery after preoperative segmental embolization in mid-bile duct cancer

Kook Y, Choi M, Park JY, Hwang HK, Lee WJ, Kim MD, Kang CM

Laparoscopic pancreaticoduodenectomy has proven to be a safe and effective alternative to open pancreati coduodenectomy with similar oncologic outcomes. Cases including excision of the hepatic artery with or without reconstruction...
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Hepatic artery aneurysms: Endovascular therapeutic techniques

Rossi UG, Petrocelli F

Hepatic Artery Aneurysm (HAA) is a rare disease, but it can be a life-threatening pathology if it is ruptured. MultiDetector Computed Tomography has to be considered the “gold standard” diagnostic...
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Adverse Effects of Ligation of an Aberrant Left Hepatic Artery Arising from the Left Gastric Artery during Radical Gastrectomy for Gastric Cancer: a Propensity Score Matching Analysis

Lee S, Son T, Song JH, Choi S, Cho M, Kim YM, Kim HI, Hyung WJ

Purpose: No consensus exists on whether to preserve or ligate an aberrant left hepatic artery (ALHA), which is the most commonly encountered hepatic arterial variation during gastric surgery. Therefore, we...
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Comparison of Sorafenib versus Hepatic Arterial Infusion Chemotherapy-Based Treatment for Advanced Hepatocellular Carcinoma with Portal Vein Tumor Thrombosis

Ahn YE, Suh SJ, Yim HJ, Seo YS, Yoon EL, Kim TH, Lee YS, Yim SY, Kim HR, Kang SH, Jung YK, Kim JH, Yeon JE, Um SH, Byun KS

Background/Aims: Sorafenib is the first approved systemic treatment for advanced hepatocellular carcinoma (HCC). However, its clinical utility is limited, especially in Asian countries. Several reports have suggested the survival benefits...
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Application of resuscitative endovascular balloon occlusion in post-transplant mycotic hepatic artery pseudoaneurysm rupture in the setting of Aspergillus Constellatus bacteremia

Stephenson K, Kalkwarf K, Giorgakis E

Hepatic artery pseudoaneurysm (HAP) is a rare, highly morbid and frequently fatal complication of liver transplantation. Most are a mycotic mediated weakness of the arterial wall, with associated bacterial or...
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Management of hepatic artery aneurysm: A case series

Rosenberg A, Trebska-McGowan K, Reichman T, Sharma A, Cotterell A, Strife B, Khan AA, Kumaran V, Bruno DA, Levy MF, Bhati CS

Hepatic artery aneurysms are rare, but their diagnosis is important because of high mortality and complications.Common risk factors for developing these aneurysms include hypertension, vascular disease, pancreatitis, diabetes, tobacco use,...
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Greater Saphenous Vein Graft Revascularization of the Left Hepatic Artery after Resection of Intrahepatic Cholangiocarcinoma with Common Hepatic Artery Resection

Choi JY, Jung ER, Choi J, Kim KH, Jung SN, Seo BF

Resection of biliary tract malignancies may require resection of the hepatic vasculature. While immediate revascularization of the liver is necessary, reconstruction is difficult when the original vessels are unavailable. We...
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Interventional treatment of a huge hepatic artery aneurysm as an unusual cause of upper gastrointestinal bleeding

Kwon SH, Yoon J, Noh SY, Ahn HJ, Oh JH

A 61-year-old man presented to our hospital with abdominal pain and melena. He showed no obvious source of bleeding on gastroduodenoscopy. Computed tomography and conventional angiography revealed a huge aneurysm...
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Successful Management of Splenic Artery Steal Syndrome after Living Donor Liver Transplantation

Jeong J

Splenic artery steal syndrome (SASS) after orthotopic liver transplantation (OLT) has been recently described as hepatic artery hypoperfusion secondary to the portal hyperperfusion. It is an uncommon but serious complication...
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Computed tomographic anatomy of hepatic artery in normal beagle dogs

Kim S, Jeong S, Lee H, Lee Y, Choi H

This study was performed to examine the visualization and anatomical variants of the hepatic artery with dual-phase computed tomography (CT) angiography and three-dimensional volume rendering imaging analysis in clinically normal...
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Endovascular Exclusion of Hepatic Artery Pseudoaneurysm after Living-Donor Liver Transplantation with a Stent-Graft Using Conical Remodeling: A Case Report

Baek SD, Kang UR, Kim YH

Hepatic artery complications after liver transplantation include hepatic artery thrombosis, stenosis, pseudoaneurysm (PA), and others. Among these complications, hepatic artery PA is reported to have a low incidence, but it...
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Comparison of hepatic artery reconstruction using surgical loupe and operating microscope during living donor liver transplantation focusing on the beginner's point

Jwa EK, Kim JD, Choi DL

BACKGROUNDS/AIMS: Hepatic artery (HA) reconstruction during living donor liver transplantation (LDLT) has been performed by experienced microsurgeons with operative microscope in most centers. However, it takes long time to learn...
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Hepatic Artery Occlusion after Liver Transplantation in Patients with Doppler Ultrasound Abnormality: Increasing Sensitivity of Contrast-Enhanced Ultrasound Diagnosis

Kim JS, Kim KW, Choi SH, Jeong SY, Kwon JH, Song GW, Lee SG

OBJECTIVE: To investigate whether diagnostic performance of contrast-enhanced ultrasound (CEUS) could be improved with modified criteria to diagnose significant hepatic artery occlusion (HAO) and to determine the role of CEUS...
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