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Shaofa Wang - One of the best experts on this subject based on the ideXlab platform.

  • characterization of the middle Hepatic Artery and its relevance to living donor liver transplantation
    Liver Transplantation, 2010
    Co-Authors: Shaofa Wang, Zhenpeng Peng, Nga Lei Tam, Canhui Sun, Jie Fu Huang
    Abstract:

    In comparison with the left and right Hepatic arteries, there is a relative lack of information on the middle Hepatic Artery (MHA). In this study, data obtained by multidetector computed tomography from 145 patients were studied to evaluate anatomical variations of the MHA, a hilar Artery that primarily supplies Hepatic segment 4. An MHA was present in 103 (71%) of the subjects. In livers that had a replaced left Hepatic Artery, the MHA originated from the right Hepatic Artery; in livers that had a replaced right Hepatic Artery, it originated from the left Hepatic Artery. It always arose directly or indirectly from the common Hepatic Artery, from which the gastroduodenal Artery also arose. We classified MHAs into 5 types according to the anatomical variations of the origin. This classification may have major relevance to modern surgical practice related to living donor liver transplantation (LDLT). The new classification of Hepatic arterial anatomy may enhance the acquisition of further knowledge on arterial development, and its application may favorably influence the outcome of LDLT. Liver Transpl 16:736-741, 2010. © 2010 AASLD.

Margaret Kemeny - One of the best experts on this subject based on the ideXlab platform.

  • the surgical aspects of the totally implantable Hepatic Artery infusion pump
    Archives of Surgery, 2001
    Co-Authors: Margaret Kemeny
    Abstract:

    The design of a totally implantable Hepatic Artery infusion pump in 1969 made the use of Hepatic Artery infusion feasible and practical as a treatment for patients with Hepatic neoplasms. The implantable pumps could function for long periods and reliably infuse a measured quantity of drug into the Hepatic Artery in a continuous fashion. This enabled oncologists to give much higher doses of chemotherapy directly into the blood supply of the tumors as well as to use a continuous infusion schedule.

Andrew K Burroughs - One of the best experts on this subject based on the ideXlab platform.

  • late Hepatic Artery thrombosis after orthotopic liver transplantation
    Liver Transplantation, 2003
    Co-Authors: Fulya Gunsar, Brian R Davidson, N Rolando, Sabrina Pastacaldi, David Patch, M L Raimondo, K Rolles, Andrew K Burroughs
    Abstract:

    Abstract Late Hepatic Artery thrombosis (HAT) is a rare complication after orthotopic liver transplantation (OLT), conventionally described as occurring more than 30 days after surgery. Only a few reports document its course. In a consecutive series of 634 OLTs (704 grafts), 11 patients (1.7%) had late HAT, diagnosed a median of 6 months (range, 1.8 to 79 months) after OLT. Clinical variables were compared with those of 415 patients without HAT who had a complete database and follow-up, including cytomegalovirus (CMV) surveillance. At presentation, 11 patients had fever, 4 patients had jaundice. Hepatic abscesses were present in 6 patients (3 patients with biliary leak), 4 patients had biliary tree necrosis (2 patients with biliary leak), and 1 patient had no biliary complications. Five patients (45%) underwent accessory Hepatic Artery anastomosis versus 73 patients (17%) without HAT (P

Cosme Manzarbeitia - One of the best experts on this subject based on the ideXlab platform.

  • sonographic diagnosis and outcome of Hepatic Artery thrombosis after orthotopic liver transplantation in adults
    American Journal of Roentgenology, 2007
    Co-Authors: Mindy M Horrow, David J Reich, Beth M Blumenthal, Cosme Manzarbeitia
    Abstract:

    OBJECTIVE. The objective of our study was to determine the timing and frequency of symptomatic Hepatic Artery thrombosis in an adult orthotopic liver transplant population, the sensitivity of Doppler sonography for this diagnosis, and the clinical and sonography outcomes in this population.MATERIALS AND METHODS. The subjects included all adult recipients with orthotopic liver transplants during a 10.5-year period. A retrospective review of all cases of Hepatic Artery thrombosis detected on angiography or at surgery was correlated with sonography findings at diagnosis. Clinical and sonography outcomes were recorded. Patients were divided into early (< 1 week) and late Hepatic Artery thrombosis groups. Hepatic Artery thrombosis was considered primary or secondary due to treatment of other Hepatic Artery complications.RESULTS. Of 522 transplants, 25 (4.8%) developed Hepatic Artery thrombosis that was primary in 18 (3.5%), with five early (1.0%) and 13 late (2.5%), and secondary in seven (1.3%). Sensitivities...

Jie Fu Huang - One of the best experts on this subject based on the ideXlab platform.

  • characterization of the middle Hepatic Artery and its relevance to living donor liver transplantation
    Liver Transplantation, 2010
    Co-Authors: Shaofa Wang, Zhenpeng Peng, Nga Lei Tam, Canhui Sun, Jie Fu Huang
    Abstract:

    In comparison with the left and right Hepatic arteries, there is a relative lack of information on the middle Hepatic Artery (MHA). In this study, data obtained by multidetector computed tomography from 145 patients were studied to evaluate anatomical variations of the MHA, a hilar Artery that primarily supplies Hepatic segment 4. An MHA was present in 103 (71%) of the subjects. In livers that had a replaced left Hepatic Artery, the MHA originated from the right Hepatic Artery; in livers that had a replaced right Hepatic Artery, it originated from the left Hepatic Artery. It always arose directly or indirectly from the common Hepatic Artery, from which the gastroduodenal Artery also arose. We classified MHAs into 5 types according to the anatomical variations of the origin. This classification may have major relevance to modern surgical practice related to living donor liver transplantation (LDLT). The new classification of Hepatic arterial anatomy may enhance the acquisition of further knowledge on arterial development, and its application may favorably influence the outcome of LDLT. Liver Transpl 16:736-741, 2010. © 2010 AASLD.