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Linda Le, MD, William Terral, MD, Nicolas Zea, MD, Hernan A

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Presentation on theme: "Linda Le, MD, William Terral, MD, Nicolas Zea, MD, Hernan A"— Presentation transcript:

1 Primary stent placement for hepatic artery stenosis after liver transplantation 
Linda Le, MD, William Terral, MD, Nicolas Zea, MD, Hernan A. Bazan, MD, Taylor A. Smith, MD, George E. Loss, MD, Edward Bluth, MD, W. Charles Sternbergh, MD  Journal of Vascular Surgery  Volume 62, Issue 3, Pages (September 2015) DOI: /j.jvs Copyright © 2015 Society for Vascular Surgery Terms and Conditions

2 Fig 1 Hepatic artery stenting technique. A, Hepatic angiogram demonstrates tortuous vessel with >99% stenosis at anastomosis. B, Predilation with a low-profile coronary balloon that also determines stent sizing. C, Deployment of balloon-expandable coronary balloon. D, Completion angiogram with resolution of stenosis and brisk flow of parenchymal hepatic vasculature. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

3 Fig 2 Treatment of concurrent right and left hepatic artery stenosis (HAS) with “buddy wire” technique. A, Hepatic angiogram demonstrates high-grade stenosis at the bifurcation of the main hepatic artery and concurrent stenosis in the left and right branches. B, Buddy wire technique demonstrates predilation of the portion of the main and right hepatic arteries. Hepatic angiograms show (C) completion of right hepatic artery stenting and (D) completion of right and left hepatic artery stenting with the buddy wire technique. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

4 Fig 3 Kaplan-Meier curve log analysis shows comparison of primary patency rates of percutaneous transluminal angioplasty (PTA) alone vs stenting (P = .19). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

5 Fig 4 Kaplan-Meier curve log analysis shows the primary assisted patency rates of the entire cohort, including reinterventions. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

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