VASCULAR COMPLICATIONS IN LIVER TRANSPLANTATION. PANAMA REPUBLIC. MARCH 2011 – AUGUST 2017
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Abstract
INTRODUCTION:Vascular complications in liver transplants have an incidence of 7-15%, representing an important cause of morbidity and mortality in patients following liver transplant.
OBJECTIVE: Describe vascular complications in liver transplants performed in the Republic of Panama between March 2011 and August 2017.
METHODS: Non-experimental, cross-sectional, retrospective study. 47 cases of 51 transplants performed in the study period were included and reviewed. The vascular complications, their types, the management used and their mortality were identified. They were analyzed based on their frequency and percentage.
RESULTS: The incidence of vascular complications was 14.9%, arterial complications 8.5% and venous complications 6.4%. According to its type: arterial thrombosis 4.3%, arterial stenosis 4.3%, stenosis of the cavo-suprahepatic anastomosis 4.3%, portal stenosis 2.1%. There was no arterial pseudoaneurysm, arterial rupture, inferior caval vein thrombosis, or thrombosis of the portal vein. Arterial thrombosis was managed surgically in 100% of cases, arterial stenosis by endovascular management in 50 % and surgery in 50%. All venous complications were given endovascular management. There were no deaths in patients with venous complications. Mortality of arterial thrombosis was 50%.
CONCLUSIONS: Despite the low number of liver transplants performed per year in our country, vascular complications showed an incidence similar to that described in the international literature, except for complications in the cavo-suprahepatic anastomosis with a higher incidence than the international one.
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