Doppler ultrasonography in living donor liver transplantation recipients: Intra- and post-operative vascular complications

Figure 33 Intra-operative dissection of the graft hepatic artery. A: IOUS B-mode image, showing dissecting intimal flap within the graft artery (arrow heads), the false lumen is seen echogenic and filled with blood and the flap totally occludes the true lumen. Surgical correction failed to repair the dissection; B: Hepatic arteriography image after successful hybrid endovascular stent placement, showing patent HA and good intrahepatic flow. A metallic marker was applied to mark the anastomotic site before stent placement (arrow); C: Doppler US image 4 mo later, confirmed patency of the stent with normal arterial waveform. HA: Hepatic artery.