Urgent Endovascular Treatment of Severe Celiac Artery Stenosis during Liver Transplantation

Arterial reconstruction during orthotopic liver transplant (OLT) can often be quite challenging in cases where the recipient hepatic artery is inadequate to provide inflow to the allograft. In these situations, an aorto-hepatic interposition graft is typically performed using the donor iliac artery [1, 2]. We present a case describing the use of urgent endovascular treatment of severe celiac artery stenosis intra-operatively during liver transplantation in a patient with significant aorto-iliac atherosclerotic disease precluding the use of an interposition graft.