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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

Table 1 The demographic and clinical characteristics of adult LDLT recipients with abnormal Doppler flows in different treatment groups.

Medical group (n=5)Surgical group (n=4)
nMean±SDRangenMean±SDRange
Gender
 Male52
 Female02
Age (years)55.6±11.138–6655.0±9.243–65
Time of diagnosis of HAT (POD)9.2±5.33–147.8±4.81–12
 Serum AST (U/L)56.80±11.8840–72201.50±242.2134–548
 Serum ALT (U/L)137.20±64.6186–250285.00±326.0057–752
 Serum TB (mg/dL)1.56±0.720.7–2.32.45±1.750.6–4.7
 Serum DB (mg/dL)0.61±0.420.3–1.10.85±0.540.3–1.6
Post-LDLT Doppler US of HA
Doppler US waveform54
 Complete absence22
 Tardus parvus32
  PSV (cm/second)21.83±13.7710.1–37.028.75±4.1725.8–31.7
  RI0.49±0.080.43–0.580.56±0.070.51–0.61
CTA of intrahepatic HA
Patency10
Partial occlusion41
Total occlusion03
Time of discharge (POD)551.2±10.535–624174.3±198.253–403
Long-term follow-up
Mortality * 01
Biliary dilatation01
 Serum TB (mg/dL)N/AN/A7.5N/A
 Serum DB (mg/dL)N/AN/A5.5N/A
No biliary complication52
 Serum TB (mg/dL)0.56±0.230.3–0.80.60±0.420.3–0.9
 Serum DB (mg/dL)0.14±0.050.1–0.20.15±0.070.1–0.2
* Mortality case due to internal bleeding and multiorgan failure.
ALT – alanine transaminase; AST – aspartate transaminase; DB – direct bilirubin; HA – hepatic artery; HAT – hepatic artery thrombosis; LDLT – living donor liver transplantation; N/A – not applicable; POD – postoperative day; PSV – peak systolic velocity; RI – resistive index; TB – total bilirubin; US – ultrasonography.

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Annals of Transplantation eISSN: 2329-0358
Annals of Transplantation eISSN: 2329-0358