Table 1. Risk factors associated with development of hepatic artery thrombosis after liver transplantation 6, 9, 16, 30, 34, 38-41 .
Donor factors |
•Abnormal donor arterial anatomy •CMV (+) donor while recipient is CMV(-) |
Recipient factors |
• Abnormal recipient arterial anatomy •Immunological or genetic factors •Infection •Celiac stenosis or compression by median arcuate ligament • Multiple rejections |
Peri-operative factors |
• Cold ischemia time • Warm ischemia time • Ischemia-reperfusion injury |
Operational factors |
• Technical problems in creating an anastomosis •Performing complex back-table arterial reconstruction • Increased number of FFP and/or whole blood transfusion • ortic conduit for arterial re-construction • Roux-en-Y biliary reconstruction |
Post-operative factors |
•Bile leak • Cholangitis • Re-laparotomy |