Successful Endovascular Rescue of a Recurrent Hepatic Artery Graft Thrombosis after Liver Retransplantation

Authors

  • Antonio Borzelli Vascular and Interventional Radiology Department, AORN "A.Cardarelli," Napoli, Italy
  • Gianluca Cangiano Vascular and Interventional Radiology Department, AORN "A.Cardarelli," Napoli, Italy
  • Francesco Pane Vascular and Interventional Radiology Department, AORN "A.Cardarelli," Napoli, Italy
  • Milena Coppola Vascular and Interventional Radiology Department, AORN "A.Cardarelli," Napoli, Italy
  • Felice D'Antuono Vascular and Interventional Radiology Department, AORN "A.Cardarelli," Napoli, Italy
  • Alessandro Punzi Vascular and Interventional Radiology Department, AORN "A.Cardarelli," Napoli, Italy
  • Fabio Corvino Vascular and Interventional Radiology Department, AORN "A.Cardarelli," Napoli, Italy
  • Antonio Corvino Motor Science and Wellness Department, University of Naples “Parthenope,” Napoli, Italy
  • Raffaella Niola Vascular and Interventional Radiology Department, AORN "A.Cardarelli," Napoli, Italy

DOI:

https://doi.org/10.26676/jevtm.63507

Keywords:

Hepatic Artery Thrombosis, Liver Transplantation, Endovascular Therapy, Stent, Angioplasty, Graft Rescue

Abstract

Hepatic artery thrombosis (HAT) is a severe and potentially graft-threatening complication after liver transplantation, associated with biliary ischemia, graft failure, and high mortality. We report the case of a 43-year-old woman with primary sclerosing cholangitis who developed early HAT after orthotopic liver transplantation. An initial endovascular recanalization attempt was unsuccessful, and progressive ischemic cholangiopathy required liver color Doppler with aorto-hepatic arterial reconstruction. During follow-up, recurrent hepatic artery graft thrombosis was detected. Given the high surgical risk, an endovascular approach was undertaken. Successful intraluminal recanalization was achieved using percutaneous transluminal angioplasty and balloon-expandable stent placement, resulting in restoration of hepatic arterial flow. Follow-up imaging confirmed sustained graft patency and preserved liver perfusion. This case highlights the role of timely endovascular intervention as a viable graft-saving option in selected patients
with complex post-transplant HAT.

Downloads

Published

2026-04-22

How to Cite

Borzelli, A., Cangiano, G., Pane, F., Coppola, M., D'Antuono, F., Punzi, A., … Niola, R. (2026). Successful Endovascular Rescue of a Recurrent Hepatic Artery Graft Thrombosis after Liver Retransplantation. Journal of Endovascular Resuscitation and Trauma Management, 10(1), 24–30. https://doi.org/10.26676/jevtm.63507

Issue

Vol. 10 No. 1 (2026)

Section

Case Reports

License

Copyright (c) 2026 Antonio Borzelli, Gianluca Cangiano, Francesco Pane, Milena Coppola, Felice D'Antuono, Alessandro Punzi, Fabio Corvino, Antonio Corvino, Raffaella Niola

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors of content published in the JEVTM retain the copyright to their works.

Articles in the JEVTM are published under the terms of a Creative Commons CC BY 4.0 license, which permits use, downloading, distribution, linking to and reproduction in any medium, provided the original work is properly cited.