How we do it–Prevention and Management of Hepatic Artery Thrombosis Following Liver Transplantation

Aims: The incidence of hepatic artery thrombosis (HAT) after liver transplantation (LTx) is ranging from 2.5–9% in adult recipients. HAT occurring early after LTx is associated with a substantial rate of graft loss and patient mortality. Methods: To minimize complication rates related to HAT, we developed an algorithm (Fig. 1) which we have routinely applied since 2001. Incidence and its related risk factors, outcome and possible therapeutic approaches of HAT were analyzed in prospectively non- controlled collected data from December 2001 to December 2006. Results: There were 335 LTx in 299 adults (199 male, 100…