الفهرس 
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Abstract
Liver transplantation is perceived as the only curative treatment for patients with end-stage liver disease. Approximately 20-25% of patients with liver failure die while waiting for a liver transplant, and another 20-30% of patients with hepatocellular carcinoma DROP off the waiting list because of tumor progression. To assess the different modalities of management and outcome of arterial complications and to analyze the risk factors of such complications after living donor liver transplantaion. This is a retrospective study in which 293 LDLT operations were done between 2008 and May 2017 at Ain Shams center for organ transplantation(ASCOT). After approval of Ethics committee and the research council, Ain shams university school of medicine, we did this retrospective cohort study that analyzed the incidence, risk factors, management and outcome of HA complications in adults and pediatrics recipients in the period from 2008 to May 2017, where patients were observed from POD 1 until the end 2017 or until death of patients. In our study early arterial complications are more higher and more serious than late arterial complications. Mortality rate in patients with early complications exceeds 50%.In late complications it was 20%. Urgent surgical management is life saving in cases of early HAT. Arterial reconstruction is technically difficult. LD retransplant has been performed in a very small number worldwide. Emergency LR is life saving in cases of HAT. Arterial reconstruction using left gastric artery is feasible in LD retransplant and arterial reconstruction after HAT. Early diagnosis and surgical or radiological intervention is the corner stone to save the recipient.