Dissection of an iliac artery conduit to liver allograft: Treatment with an endovascular stent

Hepatic artery thrombosis remains one of the most serious complications aft er orthotopic liver transplantation. Sepsis, biliary leakage and strictures , and retransplantation are often the result of this devastating complicati on. Because retransplantation or reoperation is sometimes not possible or a dvisable, other means of reestablishing hepatic artery continuity are desir able. We describe a liver transplant recipient who developed a dissection o f an iliac artery conduit after retransplantation that was treated with fib rinolytic therapy followed by successful placement of an endovascular stent . Copyright (C) 1999 by the American Association for the Study of Liver Dis eases.