Hepatic vein anastomotic stricture after living donor liver transplantation

Totsuka, Eishi; Hakamada, Kenichi; Narumi, S.; Toyoki, Yoshikazu; Umehara, Yutaka; Okawa, Hirobumi; Tsubo, Toshihito; Ishihara, Hironori; Yoshihara, Syuichi; Eondoh, M.; Morita, Takayuki; Sasaki, Mutsuo

doi:10.1016/j.transproceed.2004.08.066

Cited by 19 publications

(9 citation statements)

References 8 publications

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“…Often, patients have preserved liver function without LFT abnormalities, but they may present with ascites, varices, and hydrothorax . Additionally, HV stenosis may lead to decreased clearance of immunosuppressive agents leading to elevated tacrolimus trough levels . The symptomatology of IVC stenosis depends on the location: stenosis above the HV anastomosis will present similarly to HV stenosis, whereas stenosis below the HV anastomosis may present with lower extremity edema or ascites.…”

Section: Hepatic Vein and Inferior Vena Cava Complicationsmentioning

confidence: 99%

“…Most operators will begin treatment of the stenosis with prolonged plain balloon angioplasty, which has a very low complication rate and a high technical success rate (approaching 100%) . However, plain balloon angioplasty often requires multiple treatments to achieve longterm patency . Kubo et al showed that primary patency of HV angioplasty was 60% at 1 year, but due to the ease of repeat intervention, the assisted primary patency rate during follow‐up was 100% .…”

Section: Hepatic Vein and Inferior Vena Cava Complicationsmentioning

confidence: 99%

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Interventional radiology in the management of the liver transplant patient

et al. 2017

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Liver transplantation (LT) is commonly used to treat patients with end-stage liver disease. The evolution of surgical techniques, endovascular methods, and medical care has led to a progressive decrease in posttransplant morbidity and mortality. Despite these improvements, a multidisciplinary approach to each patient remains essential as the early diagnosis and treatment of the complications of transplantation influence graft and patient survival. The critical role of interventional radiology in the collaborative approach to the care of the LT patient will be reviewed. Liver Transplantation 23 1328-1341 2017 AASLD.

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Section: Hepatic Vein and Inferior Vena Cava Complicationsmentioning

confidence: 99%

Section: Hepatic Vein and Inferior Vena Cava Complicationsmentioning

confidence: 99%

Interventional radiology in the management of the liver transplant patient

et al. 2017

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“…12). Color Doppler US performed after the interventional procedure is also useful in confirming the restoration of normal hepatic venous flow by demonstrating a multiphasic waveform and an objective increase in flow velocity (Huang et al, 2004;Totsuka et al, 2004). Ascites usually disappears rapidly after the procedure.…”

Section: Inferior Vena Cava Stenosis\thrombosismentioning

confidence: 99%

Minimal Invasive (Endovascular and Percutaneous) Treatment of Post Liver Transplantation Complications in Pediatrics

Kroma¹,

Lopera²,

Suri³

2012

Liver Transplantation - Technical Issues and Complications

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“…Treatment includes balloon angioplasty and stent placement. Color Doppler US performed after the interventional procedure is also useful in confirming the restoration of normal hepatic venous flow by demonstrating a multiphasic waveform and an objective increase in flow velocity (46,47). Ascites usually disappears rapidly after the procedure.…”

Section: Radiographicsmentioning

confidence: 99%

Pediatric Liver Transplantation: A Pictorial Essay of Early and Late Complications

Berrocal

Parrón²,

Álvarez-Luque³

et al. 2006

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Orthotopic liver transplantation is currently the treatment of choice in patients with end-stage liver disease for which no other therapy is available. In children, segmental liver transplantation with living donor, reduced-size cadaveric, and split cadaveric allografts has become an important therapeutic option. However, the resulting expansion of the donor pool has increased the risk for postoperative vascular and biliary complications, which affect children more frequently than adults. Early recognition of these complications requires radiologic evaluation because their clinical manifestations are frequently nonspecific and vary widely. Doppler ultrasonography (US) plays the leading role in the postoperative evaluation of pediatric patients. Current magnetic resonance (MR) imaging techniques, including MR angiography and MR cholangiography, may provide a wealth of pertinent information and should be used when findings at US are inconclusive. Computed tomography is a valuable complement to US in the evaluation of complications involving the hepatic parenchyma as well as extrahepatic sites and is commonly used to guide percutaneous aspiration and fluid collection drainage. Familiarity with and early recognition of the imaging appearances of the various postoperative complications of pediatric liver transplantation are crucial for graft and patient survival.

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Hepatic vein anastomotic stricture after living donor liver transplantation

Cited by 19 publications

References 8 publications

Interventional radiology in the management of the liver transplant patient

Interventional radiology in the management of the liver transplant patient

Minimal Invasive (Endovascular and Percutaneous) Treatment of Post Liver Transplantation Complications in Pediatrics

Pediatric Liver Transplantation: A Pictorial Essay of Early and Late Complications

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