Intra-arterial lipo-prostaglandin E1 infusion for arterial spasm in liver transplantation: A case report

Figure 1 Angiography immediately following liver transplantation. A: The hepatic artery and right gastroepiploic artery (RGEA) were not initially delineated (black arrow); B: RGEA (black arrow) was gradually visualized using thrombolysis; C: Anastomotic site between the RGEA and the graft artery.

Figure 2 Diffuse arterial spasm on angiography. A: Guidewire passed through the anastomotic site (black arrow); B: Diffuse arterial spasm (white arrows) in the right gastroepiploic artery and graft artery.

Figure 3 Angiography after overnight intra-arterial infusion of lipo-prostaglandin E1. Good arterial flow with no spasms or anastomotic strictures (black arrow).