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Feasibility and Effectiveness of Using Coronary Stents in the Treatment of Hepatic Artery Stenoses After Orthotopic Liver Transplantation

Preliminary Report

Alban L. Denys1,2, Salah D. Qanadli3, François Durand4, Valerie Vilgrain1, Olivier Farges5, Jacques Belghiti5, Pascal Lacombe3 and Yves Menu1

1 Department of Radiology, Hôpital Beaujon, 100 Blvd. du Géneral Leclerc, 92118, Clichy, France.
2 Present address: Department of Radiology and Interventional Radiology, CHUV 1011 Lausanne, Switzerland.
3 Department of Radiology, Hôpital Ambroise Paré, 9 Ave. Charles de Gaulle, 92104 Boulogne, France.
4 Department of Hepatology, Hôpital Beaujon, 92118 Clichy, France.
5 Department of Digestive Surgery, Hôpital Beaujon, 92118 Clichy, France.



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  		Fig. 1A. —48-year-old man with abnormal findings on hepatic artery Doppler study. Hepatic artery angiogram shows stenosis located in graft hepatic artery beyond anastomosis (arrow).

 


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  		Fig. 1B. —48-year-old man with abnormal findings on hepatic artery Doppler study. Angiogram obtained after placement of NIR stent (Scimed-Boston Scientific, La Garenne Colombes, France) of 5 mm in diameter shows stenosis (arrow) has been reduced.

 


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  		Fig. 1C. —48-year-old man with abnormal findings on hepatic artery Doppler study. Angiogram obtained at 1-year follow-up shows no recurrence of stenosis.

 


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  		Fig. 2A. —58-year-old man with suspected ischemic cholangitis. Celiac angiogram reveals anastomotic stricture (arrow).

 


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  		Fig. 2B. —58-year-old man with suspected ischemic cholangitis. Angiogram obtained after placement of Gianturco-Roubin stent (Cook, Bjaeverskov, Denmark) shows spasm over stent that is almost occlusing artery.

 


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  		Fig. 2C. —58-year-old man with suspected ischemic cholangitis. Angiogram obtained after repeated balloon dilations had been performed shows stent is now fully opened.

 


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  		Fig. 2D. —58-year-old man with suspected ischemic cholangitis. Angiogram obtained at 1-year follow-up shows no restenosis and artery is widely patent.

 


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  		Fig. 3A. —Kaplan-Meier curves estimate primary and secondary stent patency. Graphs indicate primary (A) and secondary (B) stent patency found in our follow-up at 3, 6, and 12 months of 13 patients whose hepatic artery stenoses after liver transplantation were treated with coronary stents.

 


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  		Fig. 3B. —Kaplan-Meier curves estimate primary and secondary stent patency. Graphs indicate primary (A) and secondary (B) stent patency found in our follow-up at 3, 6, and 12 months of 13 patients whose hepatic artery stenoses after liver transplantation were treated with coronary stents.

 

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