Management of early hepatic artery occlusion after liver transplantation with failed rescue

Figure 1 Angiography in a 60-year-old woman 9 d after living donor liver transplantation shows thrombosis at the proper hepatic artery anastomosis, in which endovascular intervention failed to restore blood flow through the hepatic artery occlusion.

Figure 2 Angiography in a 49-year-old man 8 d after living donor liver transplantation shows persistent thrombosis at the anastomosis site of hepatic artery (A), however magnetic resonance angiography at the 8^th month after liver transplantation shows recanalization of intrahepatic artery via right inferior phrenic artery (B).

Figure 3 Angiography in a 13-year-old boy 2 dafter living donor liver transplantation shows total occlusion of the proper hepatic artery despite injection of 10000 IU of urokinase through a microcatheter with tip inserted into the thrombosed proper hepatic artery.