22 September 2020 : Original article
Intensive Doppler Ultrasonography for Early Detection of Hepatic Artery Thrombosis After Adult Living Donor Liver Transplantation
Pi-Ling Chiang1ABCDEF, Yu-Fan Cheng1ADG, Tung-Liang Huang1BG, Hsin-You Ou1B, Chun-Yen Yu1B, Hsien-Wen Hsu2B, Wei-Xiong Lim2B, Chao-Long Chen3B, Chee-Chien Yong3B, Leo Leung-Chit Tsang1ABDEF*DOI: 10.12659/AOT.924336
Ann Transplant 2020; 25:e924336

Figure 3 The 59-year-old male liver cirrhosis patient received LDLT with left lobe graft. Left hepatic artery of the graft was anastomosed with the recipient’s right hepatic artery. (A) Compared with the previous day, the Doppler US demonstrated declined arterial flow with prolonged systolic acceleration and small systolic amplitude on post-LDLT day 3. (B) Subsequent CTA on the same day demonstrated patency of LHA (white arrow) without any arterial filling defect or infarcted liver parenchyma. (C) Doppler US in following days demonstrated patency of LHA with relative normal arterial curve and resistance index=0.67. (D) Follow-up CTA 9 month later demonstrated regeneration of graft liver, patency of LHA, and no biliary dilatation.