Case report
Vascular grafts
Novel use of percutaneous thrombosuction to rescue the early thrombosis of the conduit vein graft after living donor liver transplantation

https://doi.org/10.1016/j.jvscit.2018.04.006Get rights and content
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Abstract

A 54-year-old woman with liver cirrhosis and hepatocellular carcinoma received a living donor liver transplant. Thrombosis of the segmental hepatic vein occurred on postoperative day 7. We undertook percutaneous catheter thrombosuction under local anesthesia to extract the thrombus successfully without re-exploration. Thrombosuction has been used for thrombosis of the cardiovascular system, limbs, and brain. We first used it in hepatic venous thrombus after liver transplantation. This procedure is simple, less invasive, feasible, safe, repeatable, and effective.

Keywords

Liver transplantation
Thrombosis
Hepatic venous outflow
Thrombosuction

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This study was supported by grants of Far Eastern Memorial Hospital (FEMH-2018-C-002, FEMH-YZU-2017-005).

Author conflict of interest: none.

The editors and reviewers of this article have no relevant financial relationships to disclose per the Journal policy that requires reviewers to decline review of any manuscript for which they may have a conflict of interest.