Diagnosis and treatment of resistant ascites in liver recipients in the early post-transplant period ; Диагностика и лечение резистентного асцита у реципиентов печени в раннем посттрансплантационном периоде

Συγγραφείς: K. Yu. Kokina, Ya. G. Moysyuk, Olga V. Sumtsova, A. O. Grigorevskaya, Yu. O. Malinovskaya, Аlexey B. Sidorenko, S. L. Malov, A. V. Azarov, M. S. Kapranov, К. Ю. Кокина, Я. Г. Мойсюк, О. В. Сумцова, А. О. Григоревская, Ю. О. Малиновская, А. Б. Сидоренко, С. Л. Малов, А. В. Азаров, М. С. Капранов

Πηγή: Transplantologiya. The Russian Journal of Transplantation; Том 17, № 1 (2025); 41-55 ; Трансплантология; Том 17, № 1 (2025); 41-55 ; 2542-0909 ; 2074-0506

Θεματικοί όροι: синдром синусоидальной обструкции, resistant ascites, splenic artery embolization, transjugular intrahepatic portosystemic shunt, hepatic venous outflow obstruction, arterioportal fistula, veno-occlusive disease, sinusoidal obstruction syndrome, резистентный асцит, эмболизация селезеночной артерии, трансъюгулярное внутрипеченочное портосистемное шунтирование, обструкция печеночного венозного оттока, артериопортальная фистула, венооклюзионная болезнь

Περιγραφή αρχείου: application/pdf

Relation: https://www.jtransplantologiya.ru/jour/article/view/965/927; https://www.jtransplantologiya.ru/jour/article/view/965/934; EASL Clinical Practice Guidelines for the management of patients with decompensated cirrhosis. J Hepatol. 2018;69(2):406–460. PMID: 29653741 https://doi.org/10.1016/j.jhep.2018.03.024; Balcar L, Tonon M, Semmler G, Calvino V, Hartl L, Incicco S, et al. Risk of further decompensation/mortality in patients with cirrhosis and ascites as the first single decompensation event. JHEP Rep. 2022;4(8):100513. PMID: 35845294 https://doi.org/10.1016/j.jhepr.2022.100513; Kulkarni R, Thomas E, Zendejas I, Fair J, Andreoni K. Refractory ascites after liver transplantation: a stepwise approach to diagnosis and treatment. Adv Res Gastroentero Hepatol. 2016;2(2):555584. https://doi.org/10.19080/ARGH.2016.02.555584; Mucenic M, Brandao ABM, Marroni CA, Fleck-Junior AM, Zanotelli ML, et al. Persistent ascites after orthotopic liver transplantation: analysis of predictive factors. J Liver. 2018;7(4):000232. https://doi.org/10.4172/2167-0889.1000232; Gotthardt DN, Weiss KH, Rathenberg V, Schemmer P, Stremmel W, Sauer P. Persistent ascites after liver transplantation: etiology, treatment and impact on survival. Ann Transplant. 2013;24(18):378–83. PMID: 23881303 https://doi.org/10.12659/AOT.883982; Al-Zoubi M, Alarabiyat M, Hann A, Mehrzhad H, Karkhanis S, Muiesan P, et al. Management of ascites following deceased donor liver transplantation: a case series. Transplant Direct. 2022;8(8):e1350. PMID: 35923811 https://doi.org/10.1097/TXD.0000000000001350; Jenkins M, Satoskar R. Ascites after liver transplantation. Clin Liver Dis (Hoboken). 2021;17(4):317–319. PMID: 33968396 https://doi.org/10.1002/cld.1050; Ng SS, Yu SC, Lee JF, Lai PB, Lau WY. Hepatic venous outflow obstruction after piggyback liver transplantation by an unusual mechanism: report of a case. World J Gastroenterol. 2006;12(33):5416–8. PMID: 16981282 https://doi.org/10.3748/wjg.v12.i33.5416; Arudchelvam J, Bartlett A, McCall J, Johnston P, Gane E, Munn S. Hepatic venous outflow obstruction in piggyback liver transplantation: single centre experience. ANZ J Surg. 2017;87(3):182–185. PMID: 26471387 https://doi.org/10.1111/ans.13344; Kubo T, Shibata T, Itoh K, Maetani Y, Isoda H, Hiraoka M, et al. Outcome of percutaneous transhepatic venoplasty for hepatic venous outflow obstruction after living donor liver transplantation. Radiology. 2006;239(1):285–90. PMID: 16567488 https://doi.org/10.1148/radiol.2391050387; Lim C, Osseis M, Tudisco A, Lahat E, Sotirov D, Salloum C, et al. Hepatic venous outflow obstruction after whole liver transplantation of large-for-size graft: versatile intra-operative management. Ann Hepatobiliary Pancreat Surg. 2018;22(4):321–325. PMID: 30588522 https://doi.org/10.14701/ahbps.2018.22.4.321; Viteri-Ramírez G, Alonso-Burgos A, Simon-Yarza I, Rotellar F, Herrero JI, Bilbao JI. Hepatic venous outflow obstruction after transplantation: outcomes for treatment with self-expanding stents. Radiologia. 2015;57(1):56–65. PMID: 24784003 https://doi.org/10.1016/j.rx.2013.09.010; Chong WK, Beland JC, Weeks SM. Sonographic evaluation of venous obstruction in liver transplants. AJR Am J Roentgenol. 2007;188(6):W51521. PMID: 17515341 https://doi.org/10.2214/AJR.06.1262; Kim PH, Yoon HM, Jung AY, Lee JS, Cho YA, Oh SH, et al. Diagnostic accuracy of CT and Doppler US for hepatic outflow obstruction after pediatric liver transplantation using left lobe or left lateral section grafts. Ultrasonography. 2024;43(2):110-120. PMID: 38369738 https://doi.org/10.14366/usg.23190; Monroe EJ, Jeyakumar A, Ingraham CR, Shivaram G, Koo KSH, Hsu EK, et al. Doppler ultrasound predictors of transplant hepatic venous outflow obstruction in pediatric patients. Pediatr Transplant. 2018;22(8):e13310. PMID: 30338622 https://doi.org/10.1111/petr.13310; Pandhi M, Lipnik A, Niemeyer M. Endovascular treatment of hepatic venous outflow obstruction after liver transplant. Dig Dis Interv. 2019;3:277–286. https://doi.org/10.1055/s-0039-3400494. Available at: https://www.thiemeconnect.de/products/ejournals/pdf/10.1055/s-0039-3400494.pdf [Accessed December 26, 2024].; Юдин А.Л., Афукова О.А., Кляншин А.А., Учеваткин А.А. Визуализация застойной гепатопатии. Медицинская визуализация. 2016;(5):59–66. Yudin AL, Afukova OA, Klyanshin AA, Uchevatkin AA. Visualization of congestive hepatopathy. Medical Visualization. 2016;(5):59–66. (In Russ.).; Pitchaimuthu M, Roll GR, Zia Z, Olliff S, Mehrzad H, Hodson J, et al. Long-term follow-up after endovascular treatment of hepatic venous outflow obstruction following liver transplantation. Transpl Int. 2016;29(10):1106– 1116. PMID: 27371935 https://doi.org/10.1111/tri.12817; Nagata R, Akamatsu N, Shibata E, Takao H, Ichida A, Kawaguchi Y, et al. Metallic stents for hepatic venous outflow obstruction after living-donor liver transplantation and their therapeutic effects. Transplant Proc. 2024;56(1):125– 134. PMID: 38177046 https://doi.org/10.1016/j.transproceed.2023.11.009; Chu HH, Yi NJ, Kim HC, Lee KW, Suh KS, Jae HJ, et al. Longterm outcomes of stent placement for hepatic venous outflow obstruction in adult liver transplantation recipients. Liver Transpl. 2016;22(11):1554–1561. PMID: 27516340 https://doi.org/10.1002/lt.24598; Gastaca M, Valdivieso A, Ruiz P, Gonzalez J, Ventoso A, de Urbina JO. Venous outflow obstruction after orthotopic liver transplantation: use of a breast implant to maintain graft position. Clin Transplant. 2011;25(3):E320–326. PMID: 21651618 https://doi.org/10.1111/j.1399-0012.2011.01423.x; Pérez-Sánchez LE, Orti-Rodríguez RJ, Reyes Correa B, Moneva Arce E, Barrera Gómez MÁ. Breast implant during orthotopic liver transplant to avoid hepatic outflow obstruction. Acta Chir Belg. 2020;120(2):146–147. PMID: 31690217 https://doi.org/10.1080/00015458.2019.1689644; Wahab MA, Shehta A, Hamed H, Elshobary M, Salah T, Sultan AM, et al. Hepatic venous outflow obstruction after living donor liver transplantation managed with ectopic placement of a foley catheter: a case report. Int J Surg Case Rep. 2015;10:65–68. PMID: 25805611 https://doi.org/10.1016/j.ijscr.2015.03.017; Fang Y, Moelker A, den Hoed CM, Porte RJ, Minnee RC, Boehnert MU. Outflow obstruction after living donor liver transplantation managed with a temporary vena cava filter: a case report. Int J Surg Case Rep. 2023;112:108981. PMID: 37883875 https://doi.org/10.1016/j.ijscr.2023.108981; Ostojic A, Petrovic I, Silovski H, Kosuta I, Sremac M, Mrzljak A. Approach to persistent ascites after liver transplantation. World J Hepatol. 2022;14(9):1739–1746. PMID: 36185723 https://doi.org/10.4254/wjh.v14.i9.1739; Barrera-Lozano LM, RamírezArbeláez JA, Muñoz CL, Becerra JA, Toro LG, Ardila CM. Portal vein thrombosis in liver transplantation: a retrospective cohort study. J Clin Med. 2023;12(12):3951. PMID: 37373645 https://doi.org/10.3390/jcm12123951; Sambommatsu Y, Shimata K, Ibuki S, Narita Y, Isono K, Honda M, et al. Portal vein complications after adult living donor liver transplantation: time of onset and deformity patterns affect long-term outcomes. Liver Transpl. 2021;27(6):854–865. PMID: 33346927 https://doi.org/10.1002/lt.25977; Schneider N, Scanga A, Stokes L, Perri R. Portal vein stenosis: a rare yet clinically important cause of delayed on set ascites after adult deceased donor liver transplantation: two case reports. Transplant Proc. 2011;43(10):3829– 3834. PMID: 22172855 https://doi.org/10.1016/j.transproceed.2011.09.068; Sare A, Chandra V, Shanmugasundaram S, Shukla PA, Kumar A. Safety and efficacy of endovascular treatment of portal vein stenosis in liver transplant recipients: a systematic review. Vasc Endovascular Surg. 2021;55(5):452– 460. PMID: 33618615 https://doi.org/10.1177/1538574421994417; Новрузбеков М.С., Олисов О.Д. Сосудистые осложнения после ортотопической трансплантации печени. Трансплантология. 2017;9(1):35–50. Novruzbekov MS, Olisov OD. Vascular complications after orthotopic liver transplantation. Transplantologiya. The Russian Journal of Transplantation. 2017;9(1):35–50. (In Russ.). https://doi.org/10.23873/2074-0506-2017-9-1-35-50; Barrera-Lozano LM, RamírezArbeláez JA, Muñoz CL, Becerra JA, Toro LG, Ardila CM. Portal vein thrombosis in liver transplantation. Arq Bras Cir Dig. 2012;25(4):273–8. PMID: 23411928 https://doi.org/10.1590/s0102-67202012000400012; Kim KS, Kim JM, Lee JS, Choi GS, Cho JW, Lee SK. Stent insertion and balloon angioplasty for portal vein stenosis after liver transplantation: long-term follow-up results. Diagn Interv Radiol. 2019;25(3):231–237. PMID: 31063137 https://doi.org/10.5152/dir.2019.18155; Kykalos S, Karatza E, Kotsifa E, Pappas P, Sotiropoulos GC. Portal vein stent placement in anastomotic stenosis after deceased donor liver transplantation: a case report. Transplant Proc. 2021;53(9):2779–2781. PMID: 34593252 https://doi.org/10.1016/j.transproceed.2021.08.035; Saad WE. Arterioportal fistulas in liver transplant recipients. Semin Intervent Radiol. 2012;29(2):105110. PMID: 23729980 https://doi.org/10.1055/s-0032-1312571; Dawkins M, Cheung N, Rozenblit G, Wolf DC. Intrahepatic arterioportal fistula with subsequent portal hypertension after percutaneous liver biopsy. ACG Case Rep J. 2024;11(3):e01287. PMID: 38425943 https://doi.org/10.14309/crj.0000000000001287; Torres Cuevas BL, Castillo Lara GE, Páez Suárez D, Eilers M. Traumatic high flow arterioportal fistula. Correction by a covered stent. Rev Esp Enferm Dig. 2023;115(1):39–40. PMID:35255703 https://doi.org/10.17235/reed.2022.8724/2022; Taher H, Kidr E, Kamal A, ElGobashy M, Mashhour S, Nassef A, et al. Transhepatic ultrasound guided embolization as a successful novel technique in treatment of pediatric complex intrahepatic arterioportal fistula: a case report and review of the literature. J Med Case Rep. 2023;17(1):412. PMID: 37710289 https://doi.org/10.1186/s13256-023-04047-0; Mendoza Quevedo MD, Vaca-Espinosa MC, Marín Zuluaga JI, Amell Baron BC, Vargas AK. Refractory ascites after liver transplantation treated with splenic artery embolization: a case report and literature review. Cureus. 2023;15(8):e43910. PMID: 37746399 https://doi.org/10.7759/cureus.43910; Calderon Novoa F, Mattera J, de Santibañes M, Ardiles V, Gadano A, D'Agostino DE, et al. Understanding local hemodynamic changes after liver transplant: different entities or simply different sides to the same coin? Transplant Direct. 2022;8(9):e1369. PMID: 36313127 https://doi.org/10.1097/TXD.0000000000001369; Saad WE. Nonocclusive hepatic artery hypoperfusion syndrome (splenic steal syndrome) in liver transplant recipients. Semin Intervent Radiol. 2012;29(2):140– 146. PMID: 23729985 https://doi.org/10.1055/s-0032-1312576; Bharathy KG, Shenvi S. Portal Hemodynamics after living-donor liver transplantation: management for optimal graft and patient outcomes – a narrative review. Transplantology. 2023;4(2):38–58. https://doi.org/10.3390/transplantology4020006; Quintini C, D'Amico G, Brown C, Aucejo F, Hashimoto K, Kelly DM, et al. Splenic artery embolization for the treatment of refractory ascites after liver transplantation. Liver Transpl. 2011;17(6):668–673. PMID: 21618687 https://doi.org/10.1002/lt.22280; Bloom PP, Gilbert T, SantosParker K, Memel Z, Przybyszewski E, Bethea E, et al. The incidence and natural history of ascites after liver transplantation. Hepatol Commun. 2023;7(6):e0158. PMID: 37219847 https://doi.org/10.1097/HC9.0000000000000158; Lee TB, Yang K, Ko HJ, Shim JR, Choi BH, Lee JH, et al. Successful defibrotide treatment of a patient with venoocclusive disease after living-donor liver transplantation: a case report. Medicine (Baltimore). 2021;100(25):e26463. PMID: 34160449 https://doi.org/10.1097/MD.0000000000026463; Takamura H, Nakanuma S, Hayashi H, Tajima H, Kakinoki K, Kitahara M, et al. Severe veno-occlusive disease/sinusoidal obstruction syndrome after deceased-donor and living-donor liver transplantation. Transplant Proc. 2014;46(10):3523–3535. PMID: 25498084 https://doi.org/10.1016/j.transproceed.2014.09.110; Sanei MH, Schiano TD, Sempoux C, Fan C, Fiel MI. Acute cellular rejection resulting in sinusoidal obstruction syndrome and ascites postliver transplantation. Transplantation. 2011;92(10):1152– 1158. PMID: 21993182 https://doi.org/10.1097/TP.0b013e318234119d; Yamada N, Urahashi T, Ihara Y, Sanada Y, Wakiya T, Okada N, et al. Veno-occlusive disease/sinusoidal obstruction syndrome associated with potential antibody-mediated rejection after pediatric living donor liver transplantation: a case report. Transplant Proc. 2012;44(3):810–813. PMID: 22483502 https://doi.org/10.1016/j.transproceed.2012.01.008; Cesaretti M, Izzo A, Pellegrino RA, Galli A, Mavrothalassitis O. Cold ischemia time in liver transplantation: an overview. World J Hepatol. 2024;16(6):883– 890. PMID: 38948435 https://doi.org/10.4254/wjh.v16.i6.883; Zhang Y, Yan Y, Song B. Noninvasive imaging diagnosis of sinusoidal obstruction syndrome: a pictorial review. Insights Imaging. 2019;10(1):110. PMID: 31748956 https://doi.org/10.1186/s13244-019-0791-x; Dalle JH, Giralt SA. Hepatic venoocclusive disease after hematopoietic stem cell transplantation: risk factors and stratification, prophylaxis, and treatment. Biol Blood Marrow Transplant. 2016;22(3):400–409. PMID: 26431626 https://doi.org/10.1016/j.bbmt.2015.09.024; Masek J, Fejfar T, Frankova S, Husova L, Krajina A, Renc O, et al. Transjugular intrahepatic portosystemic shunt in liver transplant recipients: outcomes in six adult patients. Vasc Endovascular Surg. 2023;57(4):373– 378. PMID: 36593684 https://doi.org/10.1177/15385744221149907; Bianco G, Pascale MM, Frongillo F, Nure E, Agnes S, Spoletini G. Transjugular portosystemic shunt for early-onset refractory ascites after liver transplantation. Hepatobiliary Pancreat Dis Int. 2021;20(1):90–93. PMID: 32967815 https://doi.org/10.1016/j.hbpd.2020.09.005; Tripon S, Francoz C, Albuquerque A, Paradis V, Boudjema H, Voitot H, et al. Interactions between virus-related factors and post-transplant ascites in patients with hepatitis C and no cirrhosis: role of cryoglobulinemia. Transpl Int. 2015;28(2):162–169. PMID: 25267442 https://doi.org/10.1111/tri.12466; Lipi L, Choudhary NS, Dhampalwar S, Kathuria A, Saraf N, Soin AS. Cytomegalovirus duodenitis causing persistent hypoalbuminemia and ascites after liver transplantation. J Clin Exp Hepatol. 2024;14(4):101387. PMID: 38495464 https://doi.org/10.1016/j.jceh.2024.101387; Choudhary NS, Lipi L, Dhampalwar S, Saraf N, Soin AS. A rare cause for persistent ascites after liver transplantation. Indian J Gastroenterol. 2024;43(2):513–514. PMID: 38446348 https://doi.org/10.1007/s12664-02401553-x; Поршенников И.А., Аммосов А.А., Сидоренко А.Б., Павлик В.Н., Быков А.Ю., Саакян Г.С. и др. Сплит-трансплантация печени двум реципиентам по неотложным показаниям: пример и логистика межрегиональной кооперации. Анналы хирургической гепатологии. 2020;25(4):71–84. Porshennikov IA, Ammosov AA, Sidorenko AB, Pavlik VN, Bykov AYu, Saakyan GS, et al. Split liver transplantation in two recipients for urgent indications: an example and logistics of interregional cooperation. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2020;25(4):71–84. (In Russ.). https://doi.org/10.16931/19955464.2020471-84; Гегенава Б.Б., Курносов С.А., Мойсюк Я.Г., Ветшева Н.Н., Аммосов А.А. Экстренное рентгенхирургическое эндоваскулярное лечение раннего нарушения артериального кровотока в печеночном трансплантате. Трансплантология. 2021;13(4):367–381. Gegenava BB, Kurnosov SA, Moysyuk YaG, Vetsheva NN, Ammosov AA. Emergency interventional endovascular treatment for early disorder of arterial blood flow in the liver graft. Transplantologiya. The Russian Journal of Transplantation. 2021;13(4):367–381. (In Russ.). https://doi.org/10.23873/2074-0506-2021-13-4367-381; https://www.jtransplantologiya.ru/jour/article/view/965

Διαθεσιμότητα: https://www.jtransplantologiya.ru/jour/article/view/965
https://doi.org/10.23873/2074-0506-2025-17-1-41-55