Hepatic encephalopathy after liver transplantation in a patient with a normally functioning graft: Treatment with embolization of portosystemic collaterals

Liver Transplantation

Volumn 15, Issue 1, 2009, Pages 111-114

  Herrero, J Ignacio ^a,b   Bilbao, Jose Ignacio ^a   Diaz, Maria Lourdes ^a   Alegre, Felix ^a   Inarrairaegui, Mercedes ^a   Pardo, Fernando ^a   Quiroga, Jorge ^a,b  

^a UNIVERSITY CLINIC OF NAVARRA   (Spain)

^b INSTITUTO DE SALUD CARLOS III   (Spain)

Author keywords

[No Author keywords available]

Indexed keywords

AMINOTRANSFERASE; AMMONIA; CEFTRIAXONE; GLUTAMINE; INOSITOL; INSULIN; LACTULOSE; PREDNISONE; TACROLIMUS;

ABDOMINAL ANGIOGRAPHY; ADULT; ALCOHOL LIVER CIRRHOSIS; AMINOTRANSFERASE BLOOD LEVEL; AMMONIA BLOOD LEVEL; ARTICLE; ARTIFICIAL EMBOLISM; ASCITES; CADAVER DONOR; CASE REPORT; CLINICAL FEATURE; COLLATERAL CIRCULATION; COMPUTER ASSISTED TOMOGRAPHY; DIABETES MELLITUS; DISORIENTATION; DOPPLER ECHOGRAPHY; DRUG DOSE REDUCTION; EDEMA; ELECTROENCEPHALOGRAM; FEMORAL VEIN; FLAPPING TREMOR; HEPATIC ENCEPHALOPATHY; HUMAN; IMMUNOSUPPRESSIVE TREATMENT; INSULIN TREATMENT; JAUNDICE; LIVER TRANSPLANTATION; MALE; METABOLIC ENCEPHALOPATHY; NUCLEAR MAGNETIC RESONANCE IMAGING; NUCLEAR MAGNETIC RESONANCE SPECTROSCOPY; PORTAL VEIN BLOOD FLOW; POSTOPERATIVE CARE; PRIORITY JOURNAL; REPERFUSION; SCORING SYSTEM; SOMNOLENCE; SPEECH DISORDER; SUPERIOR MESENTERIC VEIN; TREMOR; URINARY TRACT INFECTION; VASCULAR ACCESS;

ANGIOGRAPHY; EMBOLIZATION, THERAPEUTIC; HEPATIC ENCEPHALOPATHY; HUMANS; LIVER; LIVER CIRRHOSIS; LIVER CIRRHOSIS, ALCOHOLIC; LIVER TRANSPLANTATION; MALE; MIDDLE AGED; PORTASYSTEMIC SHUNT, SURGICAL; POSTOPERATIVE COMPLICATIONS; TIME FACTORS; TOMOGRAPHY, X-RAY COMPUTED;

EID: 64049108690     PISSN: 15276465     EISSN: 15276473     Source Type: Journal    
DOI: 10.1002/lt.21552     Document Type: Article

References (9)

1. Zwingmann C. Nuclear magnetic resonance studies of energy metabolism and glutamine shunt in hepatic encephalopathy and hyperammonemia. J Neurosci Res 2007;85: 3429-3442.
2. Ibukuro K, Tsukiyama T, Mori K, Inoue Y. Veins of Retzius at CT during arterial portography: anatomy and clinical importance. Radiology 1998;209:793-800.
3. Ferenci P, Lockwood A, Mullen K, Tarter R, Weissenborn K, Blei AT, and the Members of the Working Party. Hepatic encephalopathy. Definition, nomenclature, diagnosis, and quantification: final report of the working party at the 11th World Congress of Gastroenterology, Vienna, 1998. Hepatology 2002;35:716-721.
4. Bilbao JI, Arias M, Herrero JI, Iglesias A, Martinez-Regueira F, Alejandre PL, et al. Percutaneous transhepatic treatment of a posttransplant portal vein thrombosis and a preexisting splenorenal shunt. Cardiovasc Intervent Radiol 1995; 25:323-326.
5. De Carlis, Del Favero E, Rondinara G, Belli LS, Sansalone CV, Zani B, et al. The role of spontaneous portosystemic shunts in the course of orthotopic liver transplantation. Transpl Int 1992;5:9-14.
6. Zamora CA, Sugimoto K, Tsurusaki M, Yamaguchi M, Izaki K, Taniguchi T, et al. Portosplenic blood flow separation in a patients with portosystemic encephalopathy and a spontaneous splenorenal shunt. J Vasc Interv Radiol 2004;15: 875-879.
7. Shah SR, Pramesh CS, Desmukh HL, Mathur SK. Splenic artery embolization for variceal hemorrhage following blocked distal splenorenal shunt. Hepatogastroenterology 2003;50:1167-1168.
8. Aucejo FN, Hashimoto K, Quintini C, Kelly D, Vogt D, Winans C, et al. Triple-phase computed tomography and intraoperative flow measurements improve the management of portosystemic shunts during liver transplantation. Liver Transpl 2008;14:96-99.
9. Bilbao JI, Arias M, Longo JM, Alejandre PL, Betes MT, Elizalde AM. Embolization of nonvariceal portosystemic collaterals in transjugular intrahepatic portosystemic shunts. Cardiovasc Intervent Radiol 1997;20:149-153.